DANIEL TODD ROSENBLAT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****24

License Status

ACTIVE

Business

Title

First Name

DANIEL

Middle

TODD

Last Name

ROSENBLAT

Business Name

DANIEL TODD ROSENBLAT MD

Original Issue Date

07/25/2024

Effective Date

07/25/2024

Expiration Date

07/31/2026

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/25/2024