AUSTIN BLUM MD - Medical Doctor License in California | # 125072159

AUSTIN BLUM MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125072159

License Status

CANCELLED

Business

N

Title

MD

First Name

AUSTIN

Last Name

BLUM

Business Name

AUSTIN BLUM MD

Original Issue Date

06/24/2021

Effective Date

06/24/2021

Expiration Date

06/23/2022

State

CA

Specialty/Qualifier

Psychiatry

Ever Disciplined

N

LastModifiedDate

01/20/2021