MARK IRVIN ROSENBLATT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****86

License Status

ACTIVE

Business

Title

First Name

MARK

Middle

IRVIN

Last Name

ROSENBLATT

Business Name

MARK IRVIN ROSENBLATT MD

Original Issue Date

04/22/2015

Effective Date

07/21/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/21/2023