KEVIN JAY BLINDER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****44

License Status

ACTIVE

Business

First Name

KEVIN

Middle

JAY

Last Name

BLINDER

Suffix

Business Name

KEVIN JAY BLINDER MD

Original Issue Date

03/29/1999

Effective Date

06/20/2023

Expiration Date

07/31/2026

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/20/2023