LEIGH EDWARD ROSENBLUM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

NOT RENEWED

Business

First Name

LEIGH EDWARD

Last Name

ROSENBLUM

Suffix

Business Name

LEIGH EDWARD ROSENBLUM MD

Original Issue Date

01/01/1997

Effective Date

06/24/2011

Expiration Date

07/31/2014

City

NORTHBROOK

State

Zip

60062

County

COOK

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

11/17/2014