JACOB COLMAN BLAKEMAN Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****52

License Status

ACTIVE

Business

First Name

JACOB

Middle

COLMAN

Last Name

BLAKEMAN

Business Name

JACOB COLMAN BLAKEMAN

Original Issue Date

01/16/2018

Effective Date

11/25/2024

Expiration Date

01/31/2027

City

GRANITE CITY

State

Zip

62040

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2025