KATHERINE A BLUM Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125034341

License Status

EXPIRED

Business

First Name

KATHERINE

Middle

Last Name

BLUM

Business Name

KATHERINE A BLUM

Original Issue Date

05/14/1996

Effective Date

05/14/1996

Expiration Date

05/31/1999

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006