NICOLE ROSE BLUMENSTEIN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125078869

License Status

ACTIVE

Business

Title

First Name

NICOLE

Middle

ROSE

Last Name

BLUMENSTEIN

Business Name

NICOLE ROSE BLUMENSTEIN MD

Original Issue Date

06/24/2024

Effective Date

06/24/2024

Expiration Date

06/23/2026

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Otolaryngology

Ever Disciplined

LastModifiedDate

04/26/2024