KARIN ANNIKA BLUMOFE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****74

License Status

NOT RENEWED

Business

First Name

KARIN ANNIKA

Last Name

BLUMOFE

Suffix

Business Name

KARIN ANNIKA BLUMOFE MD

Original Issue Date

07/19/2007

Effective Date

04/15/2011

Expiration Date

07/31/2014

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014