IAN OWEN BLEDSOE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

NOT RENEWED

Business

Title

First Name

IAN

Middle

OWEN

Last Name

BLEDSOE

Business Name

IAN OWEN BLEDSOE MD

Original Issue Date

06/30/2014

Effective Date

06/30/2014

Expiration Date

07/31/2017

City

STANFORD

State

Zip

94305

County

CALIFORNIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017