JOSHUA R BLOMBERG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036133061

License Status

NOT RENEWED

Business

Title

First Name

JOSHUA

Middle

Last Name

BLOMBERG

Business Name

JOSHUA R BLOMBERG MD

Original Issue Date

05/23/2013

Effective Date

04/21/2014

Expiration Date

07/31/2017

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

11/01/2017