RICHARD Y HIGHBLOOM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

NOT RENEWED

Business

First Name

RICHARD Y

Last Name

HIGHBLOOM

Suffix

Business Name

RICHARD Y HIGHBLOOM MD

Original Issue Date

06/07/1993

Effective Date

06/07/1993

Expiration Date

07/31/2002

City

GRANITE CITY

State

Zip

62040

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006