STEPHEN M BLUM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036077134

License Status

NOT RENEWED

Business

First Name

STEPHEN

Middle

Last Name

BLUM

Suffix

Business Name

STEPHEN M BLUM MD

Original Issue Date

06/14/1988

Effective Date

07/21/2014

Expiration Date

07/31/2017

City

PORTLAND

State

Zip

97209

County

OREGON

Ever Disciplined

LastModifiedDate

11/01/2017