R SCOTT ROSENBLUM DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125029585

License Status

EXPIRED

Business

Title

First Name

Middle

SCOTT

Last Name

ROSENBLUM

Business Name

R SCOTT ROSENBLUM DO

Original Issue Date

05/12/1993

Effective Date

05/12/1993

Expiration Date

06/30/1997

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006