GILBERT EUGENE BLAUM MD Medical Doctor License verification

GILBERT EUGENE BLAUM MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

NOT RENEWED

Business

First Name

GILBERT

Middle

EUGENE

Last Name

BLAUM

Suffix

Business Name

GILBERT EUGENE BLAUM MD

Original Issue Date

01/01/1997

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

SHERMAN

State

Zip

62684

County

SANGAMON

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

12/13/2011

Case Number

2000002993

Action

Probation

Discipline Start Date

01/25/2007

Discipline End Date

04/01/2008

Discipline Reason

probation conditions modified.