CORINNE M BLUM Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****51

License Status

ACTIVE

Business

First Name

CORINNE

Middle

Last Name

BLUM

Business Name

CORINNE M BLUM

Original Issue Date

09/08/2004

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60613

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2023