PHILIP A BLUMENFELD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036145816

License Status

NOT RENEWED

Business

Title

First Name

PHILIP

Middle

Last Name

BLUMENFELD

Business Name

PHILIP A BLUMENFELD MD

Original Issue Date

04/24/2018

Effective Date

06/12/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023