BRYANT A BLOSS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****60

License Status

NOT RENEWED

Business

First Name

BRYANT A

Last Name

BLOSS

Suffix

Business Name

BRYANT A BLOSS MD

Original Issue Date

08/31/1989

Effective Date

07/14/2011

Expiration Date

07/31/2014

City

PERU

State

Zip

61354

County

LA SALLE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014