IRA JAY BLUMEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****76

License Status

ACTIVE

Business

First Name

IRA JAY

Last Name

BLUMEN

Suffix

Business Name

IRA JAY BLUMEN MD

Original Issue Date

07/20/1982

Effective Date

04/30/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/30/2023