CONRAD B BLUM MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036054008

License Status

INACTIVE

Business

First Name

CONRAD B

Last Name

BLUM

Suffix

Business Name

CONRAD B BLUM MD

Original Issue Date

12/14/1976

Effective Date

12/14/1976

Expiration Date

07/31/1987

City

TENAFLY

State

Zip

07670

County

NEW JERSEY

Ever Disciplined

LastModifiedDate

09/20/2006