CRAIG M KORNBLUTH Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125036508

License Status

EXPIRED

Business

First Name

CRAIG

Middle

Last Name

KORNBLUTH

Business Name

CRAIG M KORNBLUTH

Original Issue Date

06/06/1997

Effective Date

06/06/1997

Expiration Date

06/22/1998

City

CHICAGO

State

Zip

60631

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2012