JEFFREY BERTRAM BLOCK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036126638

License Status

NOT RENEWED

Business

Title

First Name

JEFFREY

Middle

BERTRAM

Last Name

BLOCK

Business Name

JEFFREY BERTRAM BLOCK MD

Original Issue Date

09/09/2010

Effective Date

06/21/2017

Expiration Date

09/30/2020

City

MADISON

State

Zip

53717

County

WISCONSIN

Ever Disciplined

LastModifiedDate

01/14/2021