MARTIN R BLUM Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125025850

License Status

EXPIRED

Business

First Name

MARTIN

Middle

Last Name

BLUM

Business Name

MARTIN R BLUM

Original Issue Date

07/06/1990

Effective Date

07/06/1990

Expiration Date

07/05/1993

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Nuclear Medicine

Ever Disciplined

LastModifiedDate

09/22/2006