ERIC SCOTT BLACKWELL M.D. Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****71

License Status

ACTIVE

Business

Title

M.D.

First Name

ERIC

Middle

SCOTT

Last Name

BLACKWELL

Business Name

ERIC SCOTT BLACKWELL M.D.

Original Issue Date

09/15/2025

Effective Date

09/15/2025

Expiration Date

07/31/2026

City

KALAMAZOO

State

Zip

49009

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/15/2025