NATE STEPHAN BLAUSTEIN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

ACTIVE

Business

First Name

NATE

Middle

STEPHAN

Last Name

BLAUSTEIN

Suffix

Business Name

NATE STEPHAN BLAUSTEIN MD

Original Issue Date

11/30/2000

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023