BARRY SCOTT HIGHBLOOM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****71

License Status

NOT RENEWED

Business

First Name

BARRY SCOTT

Last Name

HIGHBLOOM

Suffix

Business Name

BARRY SCOTT HIGHBLOOM MD

Original Issue Date

08/04/1997

Effective Date

08/04/1997

Expiration Date

07/31/1999

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006