ADAM RUSSELL BLOCK DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125040951

License Status

EXPIRED

Business

First Name

ADAM

Middle

RUSSELL

Last Name

BLOCK

Suffix

Business Name

ADAM RUSSELL BLOCK DO

Original Issue Date

07/01/2000

Effective Date

07/01/2000

Expiration Date

06/30/2003

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006