JOHN R GOLDBLUM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036134269

License Status

NOT RENEWED

Business

Title

First Name

JOHN

Middle

Last Name

GOLDBLUM

Business Name

JOHN R GOLDBLUM MD

Original Issue Date

12/04/2013

Effective Date

09/01/2020

Expiration Date

07/31/2023

City

BEACHWOOD

State

Zip

44122

County

OHIO

Ever Disciplined

LastModifiedDate

11/30/2023