SIMON LEIB BLUMEN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036043022

License Status

INACTIVE

Business

First Name

SIMON LEIB

Last Name

BLUMEN

Suffix

Business Name

SIMON LEIB BLUMEN MD

Original Issue Date

12/18/1969

Effective Date

12/18/1969

Expiration Date

07/31/1987

City

JOHNSTON

State

Zip

02919

County

RHODE ISLAND

Ever Disciplined

LastModifiedDate

09/20/2006