ADAM RUSSELL BLOCK DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109660

License Status

ACTIVE

Business

First Name

ADAM

Middle

RUSSELL

Last Name

BLOCK

Suffix

Business Name

ADAM RUSSELL BLOCK DO

Original Issue Date

07/08/2003

Effective Date

06/21/2023

Expiration Date

07/31/2026

City

RIVER FOREST

State

Zip

60305

County

COOK

Ever Disciplined

LastModifiedDate

06/21/2023