HARVEY STEVEN BLOCK MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036129179

License Status

INACTIVE

Business

Title

First Name

HARVEY

Middle

STEVEN

Last Name

BLOCK

Business Name

HARVEY STEVEN BLOCK MD

Original Issue Date

11/02/2011

Effective Date

11/02/2011

Expiration Date

07/31/2014

City

MADISON

State

Zip

53715

County

WISCONSIN

Ever Disciplined

LastModifiedDate

04/08/2014