PHILIP A BLUMENFELD MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064224

License Status

CANCELLED

Business

Title

First Name

PHILIP

Middle

Last Name

BLUMENFELD

Business Name

PHILIP A BLUMENFELD MD

Original Issue Date

07/05/2016

Effective Date

07/05/2016

Expiration Date

07/04/2018

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Radiation Oncology

Ever Disciplined

LastModifiedDate

06/08/2016