SEAN MATTHEW BLITZSTEIN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****89

License Status

ACTIVE

Business

First Name

SEAN

Middle

MATTHEW

Last Name

BLITZSTEIN

Suffix

Business Name

SEAN MATTHEW BLITZSTEIN MD

Original Issue Date

08/31/2011

Effective Date

04/06/2023

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

04/06/2023