Mark Frederick Blum Md
ExpiredIllinois 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
- Licensed Physician and Surgeon (Medical Board) Physicians & Surgeons
More from the license record
- Current term began
- 12/20/1962
Contact
Colorado Springs, CO 80902
Colorado County