Douglas Alan Blazer
ActiveIllinois license 38*****59
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 38*****59
- Status
- Active
- First issued
- November 10, 2011
- Expires
- March 1, 2028
- License holder
- Douglas Alan Blazer
- Entity type
- Individual
Classifications
- Physician Assistant Controlled Substance Physicians & Surgeons
More from the license record
- Delegated controlled substance schedules
- II III IV V
- Current term began
- 01/26/2026
Other Illinois licenses under this name
-
IL
ActiveLoves Park, ILExpires Mar 1, 2028
Contact
Rockford, IL 61109
Winnebago County