STEPHEN M BLUM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****83

License Status

NOT RENEWED

Business

First Name

STEPHEN

Middle

Last Name

BLUM

Suffix

Business Name

STEPHEN M BLUM MD

Original Issue Date

02/07/1996

Effective Date

02/07/1996

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60616

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2017