LEIGH EDWARD ROSENBLUM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****58

License Status

NOT RENEWED

Business

First Name

LEIGH EDWARD

Last Name

ROSENBLUM

Suffix

Business Name

LEIGH EDWARD ROSENBLUM MD

Original Issue Date

08/31/1989

Effective Date

08/31/1989

Expiration Date

07/31/2005

City

SKOKIE

State

Zip

60076

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011