STEPHEN ANDREW BLATT MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051188

License Status

EXPIRED

Business

Title

First Name

STEPHEN

Middle

ANDREW

Last Name

BLATT

Business Name

STEPHEN ANDREW BLATT MD

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2010

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Ophthalmology

Ever Disciplined

LastModifiedDate

07/08/2010