ROBIN L ROSENBLATE Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

NOT RENEWED

Business

First Name

ROBIN

Middle

Last Name

ROSENBLATE

Business Name

ROBIN L ROSENBLATE

Original Issue Date

10/07/1999

Effective Date

10/07/1999

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006