JEFFREY STEVEN ROSENBLATT DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064428

License Status

CANCELLED

Business

First Name

JEFFREY

Middle

STEVEN

Last Name

ROSENBLATT

Suffix

Business Name

JEFFREY STEVEN ROSENBLATT DO

Original Issue Date

06/23/2014

Effective Date

06/23/2014

Expiration Date

06/22/2017

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/07/2014