ALEC MICHAEL BLOCK MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061878

License Status

CANCELLED

Business

Title

First Name

ALEC

Middle

MICHAEL

Last Name

BLOCK

Business Name

ALEC MICHAEL BLOCK MD

Original Issue Date

07/01/2015

Effective Date

07/01/2015

Expiration Date

06/30/2017

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Radiation Oncology

Ever Disciplined

LastModifiedDate

02/24/2015