RONEEN BLANK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

NOT RENEWED

Business

Title

First Name

RONEEN

Last Name

BLANK

Business Name

RONEEN BLANK MD

Original Issue Date

09/09/1981

Effective Date

07/28/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60601

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021