JOHN R GOLDBLUM MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000158

License Status

EXPIRED

Business

Title

First Name

JOHN

Middle

Last Name

GOLDBLUM

Business Name

JOHN R GOLDBLUM MD

Original Issue Date

10/01/1991

Effective Date

10/01/1991

Expiration Date

11/30/1991

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

03/08/2013