LEE A BLUMENFELD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****72

License Status

NOT RENEWED

Business

First Name

LEE A

Last Name

BLUMENFELD

Suffix

Business Name

LEE A BLUMENFELD MD

Original Issue Date

09/03/1987

Effective Date

09/03/1987

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2017