ALLISON BLAIR BLUNDEN
License Number: PA9104815
Data As Of 6/28/2024
| Profession | Physician Assistant |
|---|---|
| License | PA9104815 |
| License Status | CLEAR/Active |
| Qualifications | Prescribing |
| License Expiration Date | 1/31/2026 |
| License Original Issue Date | 10/01/2008 |
| Address of Record | 11715 RANGELAND PARKWAY |
| INTERCOASTAL MEDICAL GROUP INC. | |
| BRADENTON, FL 34211 | |
| Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain) | No |
| Discipline on File | No |
| Public Complaint | No |
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