DAVID DONATH ROSENBLUM MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055598

License Status

EXPIRED

Business

First Name

DAVID

Middle

DONATH

Last Name

ROSENBLUM

Suffix

Business Name

DAVID DONATH ROSENBLUM MD

Original Issue Date

01/20/2009

Effective Date

01/20/2009

Expiration Date

01/19/2011

City

CHICAGO

State

Zip

60640

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/24/2011