MATTHEW GARRET BLUM MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036100480

License Status

INACTIVE

Business

First Name

MATTHEW

Middle

GARRET

Last Name

BLUM

Suffix

Business Name

MATTHEW GARRET BLUM MD

Original Issue Date

06/30/1999

Effective Date

05/22/2008

Expiration Date

07/31/2011

City

COLORADO SPRINGS

State

Zip

80907

County

COLORADO

Ever Disciplined

LastModifiedDate

04/07/2011