JORDAN ROSENBLUM MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125019667

License Status

EXPIRED

Business

First Name

JORDAN

Last Name

ROSENBLUM

Suffix

Business Name

JORDAN ROSENBLUM MD

Original Issue Date

06/19/1986

Effective Date

06/19/1986

Expiration Date

06/25/1989

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006