NATE STEPHAN BLAUSTEIN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036103815

License Status

ACTIVE

Business

First Name

NATE

Middle

STEPHAN

Last Name

BLAUSTEIN

Suffix

Business Name

NATE STEPHAN BLAUSTEIN MD

Original Issue Date

11/16/2000

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

04/07/2023