DOUGLAS NORMAN BLUME MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036127340

License Status

NOT RENEWED

Business

First Name

DOUGLAS

Middle

NORMAN

Last Name

BLUME

Suffix

Business Name

DOUGLAS NORMAN BLUME MD

Original Issue Date

03/15/2011

Effective Date

07/16/2014

Expiration Date

07/31/2017

City

ROCKFORD

State

Zip

92653

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

12/04/2024