JOSHUA ALAN BLOMGREN DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****76

License Status

NOT RENEWED

Business

First Name

JOSHUA

Middle

ALAN

Last Name

BLOMGREN

Suffix

Business Name

JOSHUA ALAN BLOMGREN DO

Original Issue Date

02/19/2009

Effective Date

05/01/2014

Expiration Date

07/31/2017

City

WINFIELD

State

Zip

60190

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020