KEVIN MARC KORENBLAT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036155074

License Status

ACTIVE

Business

Title

First Name

KEVIN

Middle

MARC

Last Name

KORENBLAT

Business Name

KEVIN MARC KORENBLAT MD

Original Issue Date

12/18/2020

Effective Date

07/31/2023

Expiration Date

07/31/2026

City

SAINT LOUIS

State

Zip

63110

Ever Disciplined

LastModifiedDate

07/31/2023