MICHAEL GENE BLANKESPOOR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

ACTIVE

Business

Title

First Name

MICHAEL

Middle

GENE

Last Name

BLANKESPOOR

Business Name

MICHAEL GENE BLANKESPOOR MD

Original Issue Date

06/25/2025

Effective Date

06/25/2025

Expiration Date

07/31/2026

City

WICHITA

State

Zip

67220

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/25/2025