JOHN NICHOLAS BLIZZARD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

ACTIVE

Business

Title

First Name

JOHN

Middle

NICHOLAS

Last Name

BLIZZARD

Business Name

JOHN NICHOLAS BLIZZARD MD

Original Issue Date

11/13/2023

Effective Date

11/13/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60631

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/13/2023