BLAISE J WOLFRUM MD Medical Doctor License verification

BLAISE J WOLFRUM MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****14

License Status

NOT RENEWED

Business

First Name

BLAISE J

Last Name

WOLFRUM

Suffix

Business Name

BLAISE J WOLFRUM MD

Original Issue Date

06/20/1990

Effective Date

05/01/2017

Expiration Date

09/30/2020

City

SCHAUMBURG

State

Zip

60194

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021

Case Number

2013004986

Action

Temporary Suspension

Discipline Start Date

10/18/2017

Discipline End Date

10/18/2017

Discipline Reason

for engaging in boundary violations with an underage patient of his psychiatric practice and inappropriate Controlled Substance prescribing to patients of his private practice.