License Directory

Mark Frederick Blum Md

Expired

Illinois license 036038269

License

Licensed by
Illinois Department of Financial and Professional Regulation
License number
036038269
Status
Expired (Not Renewed)
First issued
December 20, 1962
License holder
Mark Frederick Blum Md
Entity type
Individual

Classifications

More from the license record

Current term began
12/20/1962

Contact

Colorado Springs, CO 80902
Colorado County