PAUL CLARK BLUTH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****19

License Status

ACTIVE

Business

Title

First Name

PAUL

Middle

CLARK

Last Name

BLUTH

Business Name

PAUL CLARK BLUTH MD

Original Issue Date

12/22/2023

Effective Date

12/22/2023

Expiration Date

07/31/2026

City

SOUTH SALT LAKE

State

Zip

84119

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/22/2023