SCOTT EVAN BLUMENTHAL DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125039342

License Status

EXPIRED

Business

First Name

SCOTT

Middle

EVAN

Last Name

BLUMENTHAL

Suffix

Business Name

SCOTT EVAN BLUMENTHAL DO

Original Issue Date

06/25/1999

Effective Date

06/25/1999

Expiration Date

06/24/2000

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006