DINA REBECCA BLUMENFIELD DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036121279

License Status

NOT RENEWED

Business

First Name

DINA

Middle

REBECCA

Last Name

BLUMENFIELD

Suffix

Business Name

DINA REBECCA BLUMENFIELD DO

Original Issue Date

06/25/2008

Effective Date

06/25/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011