MELISSA KATHRYN BLUME Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****90

License Status

ACTIVE

Business

First Name

MELISSA

Middle

KATHRYN

Last Name

BLUME

Business Name

MELISSA KATHRYN BLUME

Original Issue Date

08/12/2010

Effective Date

02/10/2026

Expiration Date

03/01/2028

City

LITCHFIELD

State

Zip

62056

County

MONTGOMERY

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/10/2026