CHRISTOPHER MICHAEL BLUM DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****48

License Status

ACTIVE

Business

Title

First Name

CHRISTOPHER

Middle

MICHAEL

Last Name

BLUM

Business Name

CHRISTOPHER MICHAEL BLUM DO

Original Issue Date

08/10/2021

Effective Date

07/25/2023

Expiration Date

07/31/2026

City

KANKAKEE

State

Zip

60661

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/25/2023