MICHAEL ZANGWILL BLUMBERG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

License Status

NOT RENEWED

Business

First Name

MICHAEL ZANGWILL

Last Name

BLUMBERG

Suffix

Business Name

MICHAEL ZANGWILL BLUMBERG MD

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

OFALLON

State

Zip

62269

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006