JOSHUA ALAN BLOMGREN DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

ACTIVE

Business

First Name

JOSHUA

Middle

ALAN

Last Name

BLOMGREN

Suffix

Business Name

JOSHUA ALAN BLOMGREN DO

Original Issue Date

09/20/2012

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

WESTCHESTER

State

Zip

60154

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2023