MATTHEW SCOTT BLISS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****40

License Status

ACTIVE

Business

Title

First Name

MATTHEW

Middle

SCOTT

Last Name

BLISS

Business Name

MATTHEW SCOTT BLISS MD

Original Issue Date

01/24/2018

Effective Date

04/09/2023

Expiration Date

07/31/2026

City

EDGERTON

State

Zip

53534

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/09/2023