ROMY JILL BLOCK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036113571

License Status

ACTIVE

Business

First Name

ROMY

Middle

JILL

Last Name

BLOCK

Suffix

Business Name

ROMY JILL BLOCK MD

Original Issue Date

04/26/2005

Effective Date

06/09/2023

Expiration Date

07/31/2026

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Ever Disciplined

LastModifiedDate

06/09/2023