R SCOTT ROSENBLUM DO

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****68

NOT RENEWED

N

DO

R

SCOTT

ROSENBLUM

R SCOTT ROSENBLUM DO

08/17/2004

08/17/2004

07/31/2005

WAUKEGAN

IL

60085

LAKE

II III IV V

N

04/07/2011