BLAKE NEUBURG MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130001507

License Status

EXPIRED

Business

Title

First Name

BLAKE

Last Name

NEUBURG

Business Name

BLAKE NEUBURG MD

Original Issue Date

02/19/2023

Effective Date

02/19/2023

Expiration Date

03/18/2023

City

CHICAGO

State

Zip

60612

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

03/06/2024