KATHERINE DIRENZO BLATT MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062659

License Status

EXPIRED

Business

Title

First Name

KATHERINE

Middle

DIRENZO

Last Name

BLATT

Business Name

KATHERINE DIRENZO BLATT MD

Original Issue Date

06/23/2016

Effective Date

06/23/2016

Expiration Date

06/22/2017

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

09/19/2017