JAMES DOUGLAS BLANDING JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****24

License Status

NOT RENEWED

Business

First Name

JAMES DOUGLAS

Last Name

BLANDING JR

Suffix

Business Name

JAMES DOUGLAS BLANDING JR MD

Original Issue Date

01/01/1997

Expiration Date

07/31/1993

City

WATSEKA

State

Zip

60970

County

IROQUOIS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006