JOSHUA THOMAS BLUNCK DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****58

License Status

NOT RENEWED

Business

First Name

JOSHUA

Middle

THOMAS

Last Name

BLUNCK

Suffix

Business Name

JOSHUA THOMAS BLUNCK DO

Original Issue Date

06/02/2011

Effective Date

06/21/2017

Expiration Date

09/30/2020

City

STERLING

State

Zip

61081

County

WILLIAMSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021