REX V BLUMHAGEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

NOT RENEWED

Business

First Name

REX V

Last Name

BLUMHAGEN

Suffix

Business Name

REX V BLUMHAGEN MD

Original Issue Date

06/26/1984

Effective Date

06/26/1984

Expiration Date

07/31/1993

City

BLOOMINGDALE

State

Zip

60108

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006