Gustafson, Blake Charles
Gustafson, Blake Charles (License# DR-0007761) is a professional licensed with State of Delaware, Division of Professional Regulation. The license issue date is November 15, 2010.
License Overview
| License Number | DR-0007761 |
| Name | Gustafson, Blake Charles |
| Last Name | Gustafson |
| First Name | Blake |
| Address |
Sioux Falls SD 57110 |
| Profession | Controlled Substances |
| License Type | Physician CSR |
| Disciplinary Action | N |
| License Status | Lapsed-Must Reapply |
| Issue Date | 2010-11-15 |
| Expiration Date | 2017-06-30 |
Other licenses Gustafson, Blake Charles
| License# | Profession | License Type | License Status | Valid Date |
|---|---|---|---|---|
| C1-0009550 | Medical Practice | Physician M.D. | Expired-Must Reapply | 2010-11-01 - 2017-03-31 |
| C7-0003762 | Medical Practice | ACGME Training | Expired-Must Reapply | 2007-05-29 - 2013-03-31 |
Office Location
| City | Sioux Falls |
| Zip Code | 57110 |
| Country | United States |
Licenses in the same city
| Entity Name | Profession / License Type | Office Address | License Date |
|---|---|---|---|
| Harding, Craig Allen | Electrical Examiners (Journeyperson Electrician) | Sioux Falls, SD 57103 | 2018-09-07 - 2020-06-30 |
| AmeriPharm, Inc dba MedVantx Pharmacy Services | Controlled Substances (Pharmacy CSR) | Sioux Falls, SD 57104 | 2013-10-07 - 2019-06-30 |
| Murphy, Emily Elizabeth | Controlled Substances (Physician CSR) | Sioux Falls, SD 57103 | 2013-08-05 - 2019-06-30 |
| Hoffman, Stefanie Lynn | Nursing (Registered Nurse) | Sioux Falls, SD 57106 | 2012-07-10 - 2016-06-14 |
| Jessen, Neil Kurt | Nursing (Temporary Permit - APRN) | Sioux Falls, SD 57106 | 2007-11-28 - 2008-02-29 |
| Hellwig, Thaddaus R | Pharmacy (Pharmacist) | Sioux Falls, SD 57103 | 2006-08-03 - 2020-09-30 |
| Ameri Pharm | Pharmacy (Non Resident Pharmacy) | Sioux Falls, SD 57104 | 2004-10-19 - 2008-09-30 |
| Halbkram, Rebecca L | Cosmetology and Barbering (Cosmetologist/Cosmetology Instructor) | Sioux Falls, SD 57106 | 2002-04-30 - 2018-03-31 |
| Zaidi, Muhammad A. | Medical Practice (Physician M.D.) | Sioux Falls, SD 57103 | 2001-09-21 - 2011-03-31 |
| Deeb, Fadi | Medical Practice (Physician M.D.) | Sioux Falls, SD 57108 | 2001-05-04 - 2003-03-31 |
Competitor
Search similar business entities
| City | Sioux Falls |
| Zip Code | 57110 |
| License Type | Physician CSR |
| License Type + Zip | Physician CSR + 57110 |
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Dataset Information
| Data Provider | State of Delaware, Division of Professional Regulation |
| Jurisdiction | State of Delaware |
| Related Datasets | Delaware Business Licenses |
This dataset includes 25 thousand individuals who have applied for, currently hold or previously held a professional or occupational license issued by the State of Delaware, Division of Professional Regulation. Professional Licenses are required by law in order to practice in Delaware. This dataset contains information about the following industries: Accountancy, Acupuncture, Acupuncture Detoxification, Adult Entertainment Establishments, Aesthetician, Architects, Athletic Trainers, Audiology, Barbering, Boxing, Chemical Dependency Professionals, Chiropractic, Combative Sports, Controlled Substances, Cosmetology, Deadly Weapons Dealers, Dental, Dietitians, Electrician, Funeral Services, Gaming, Genetic Counselor, Geology, Hearing Aid Dispensers, Home Inspectors, Homeowner Permits, HVACR, Land Surveyors, Landscape Architect, Manufactured Home Installation, Marriage and Family Therapy, Massage and Bodywork, Medical Practice, Midwife, Mixed Martial Arts, Nail Technician, Nursing, Nursing Home Administrators, Nutritionist, Occupational Therapy, Optometry, Paramedic, Pharmacy, Physical Therapy, Doctor, Physician, Physician Assistant, River Pilots, Plumbers, Podiatry, Polysomnographer, Mental Health Counselors, Psychology, Real Estate, Real Estate Appraisers, Respiratory Care, Salons, Social Workers, Speech Pathology, Veterinary Medicine. Each license is registered with license number, name, location, license date and status, etc.