KIMBERLY D BLANKSHAIN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****50

License Status

ACTIVE

Business

Title

First Name

KIMBERLY

Middle

Last Name

BLANKSHAIN

Business Name

KIMBERLY D BLANKSHAIN MD

Original Issue Date

02/22/2021

Effective Date

04/15/2023

Expiration Date

07/31/2026

City

WHEATON

State

Zip

60187

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/15/2023