MARK STUART ROSENBLOOM MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125019162

License Status

EXPIRED

Business

First Name

MARK STUART

Last Name

ROSENBLOOM

Suffix

Business Name

MARK STUART ROSENBLOOM MD

Original Issue Date

05/19/1986

Effective Date

05/19/1986

Expiration Date

07/01/1989

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Addiction Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006