SCOTT L BLUMENTHAL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125013612

License Status

EXPIRED

Business

First Name

SCOTT L

Last Name

BLUMENTHAL

Suffix

Business Name

SCOTT L BLUMENTHAL MD

Original Issue Date

12/30/1981

Effective Date

12/30/1981

Expiration Date

01/01/1984

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006