JUSTIN DAVID BLOOMBERG DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****26

License Status

NOT RENEWED

Business

Title

First Name

JUSTIN

Middle

DAVID

Last Name

BLOOMBERG

Business Name

JUSTIN DAVID BLOOMBERG DO

Original Issue Date

07/26/2018

Effective Date

07/26/2018

Expiration Date

09/30/2020

City

DES MOINES

State

Zip

50310

County

IOWA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021