RONEEN BLANK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****14

License Status

ACTIVE

Business

Title

First Name

RONEEN

Last Name

BLANK

Business Name

RONEEN BLANK MD

Original Issue Date

01/22/2021

Effective Date

07/18/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60601

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

07/18/2023