SEAN MATTHEW BLITZSTEIN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036104438

License Status

ACTIVE

Business

First Name

SEAN

Middle

MATTHEW

Last Name

BLITZSTEIN

Suffix

Business Name

SEAN MATTHEW BLITZSTEIN MD

Original Issue Date

04/02/2001

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

04/06/2023