DAVID BLUMBERG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

NOT RENEWED

Business

Title

First Name

DAVID

Last Name

BLUMBERG

Business Name

DAVID BLUMBERG MD

Original Issue Date

09/17/2021

Effective Date

09/17/2021

Expiration Date

07/31/2023

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023