DMITRY BLUMENKRANTS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****22

License Status

NOT RENEWED

Business

Title

First Name

DMITRY

Last Name

BLUMENKRANTS

Business Name

DMITRY BLUMENKRANTS MD

Original Issue Date

09/24/2013

Effective Date

04/18/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60610

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017