BLAIR W FOREMAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****25

License Status

ACTIVE

Business

First Name

BLAIR

Middle

Last Name

FOREMAN

Suffix

Business Name

BLAIR W FOREMAN MD

Original Issue Date

08/19/1999

Effective Date

07/11/2023

Expiration Date

07/31/2026

City

BETTENDORF

State

Zip

52722

County

SCOTT

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/11/2023