MICHAEL ANTHONY BLAIN DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****60

License Status

ACTIVE

Business

Title

First Name

MICHAEL

Middle

ANTHONY

Last Name

BLAIN

Business Name

MICHAEL ANTHONY BLAIN DO

Original Issue Date

03/05/2009

Effective Date

05/25/2023

Expiration Date

07/31/2026

City

ELDORADO

State

Zip

62930

County

SALINE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/25/2023