AUSTIN BLUM MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125072159

License Status

CANCELLED

Business

Title

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

City

SACRAMENTO

State

Zip

95816

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

01/20/2021