SCOTT PAUL BLOMBERG OD Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****58

License Status

ACTIVE

Business

First Name

SCOTT

Middle

PAUL

Last Name

BLOMBERG

Suffix

Business Name

SCOTT PAUL BLOMBERG OD

Original Issue Date

08/04/2003

Effective Date

01/13/2026

Expiration Date

03/31/2028

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/13/2026