GRACE BLITZER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036153596

License Status

ACTIVE

Business

Title

First Name

GRACE

Last Name

BLITZER

Business Name

GRACE BLITZER MD

Original Issue Date

07/07/2020

Effective Date

05/25/2023

Expiration Date

07/31/2026

City

MADISON

State

Zip

53726

Ever Disciplined

LastModifiedDate

05/25/2023