DONALD JOHN BLASKIEWICZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****78

License Status

NOT RENEWED

Business

First Name

DONALD

Middle

JOHN

Last Name

BLASKIEWICZ

Suffix

Business Name

DONALD JOHN BLASKIEWICZ MD

Original Issue Date

07/02/2010

Effective Date

07/02/2010

Expiration Date

07/31/2011

City

THOUSAND OAKS

State

Zip

91320

County

CALIFORNIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011