BLAISE ALEXANDER NEMETH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****25

License Status

ACTIVE

Business

Title

First Name

BLAISE

Middle

ALEXANDER

Last Name

NEMETH

Business Name

BLAISE ALEXANDER NEMETH MD

Original Issue Date

01/18/2023

Effective Date

07/19/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/19/2023