MARK ROSENBLOOM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****53

License Status

NOT RENEWED

Business

First Name

MARK

Last Name

ROSENBLOOM

Suffix

Business Name

MARK ROSENBLOOM MD

Original Issue Date

09/11/1992

Effective Date

09/11/1992

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60616

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020