JOSEPH EDWARD BLAHUT Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****41

License Status

ACTIVE

Business

First Name

JOSEPH

Middle

EDWARD

Last Name

BLAHUT

Business Name

JOSEPH EDWARD BLAHUT

Original Issue Date

11/18/2005

Effective Date

03/01/2024

Expiration Date

03/01/2026

City

ARTHUR

State

Zip

61911

County

DOUGLAS

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025