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Licensing details for: A 190949

Name: Blight, Brennan James

License Type: Physician and Surgeon A

Primary Status: License Renewed & Current Primary Status Definition

School Name: University of Utah School of Medicine

Graduation Year: 2021

Previous Names: Blight, Brennan

Address of Record

4510 Brockton Ave
RIVERSIDE CA 92501-4015
RIVERSIDE county
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Issuance Date

September 19, 2023

Expiration Date

November 30, 2027

Current Date / Time

April 3, 2026
3:27:26 AM

Public Record Actions

Public Documents

License Relationships

Postgraduate Training License associated with Physician & Surgeon License

License/Registration Role: Physician & Surgeon

Related Party Role: Postgraduate Training License

Name: Blight, Brennan James

License/Registration Type: Postgraduate Training License

License Number: 10867 Primary Status: License Canceled

Address :
4510 Brockton Ave
RIVERSIDE CA 92501-4015
RIVERSIDE COUNTY

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Survey Information

The following information is self-reported by the licensee and has not been verified by the Board.

Current Training Status
Postgraduate Training
Postgraduate Training Years
3
Primary Area of Practice
Anesthesiology
Secondary Area of Practice
Cardiology
ABMS Certifications
Other - None
Are you retired?
No
Practice Activities
Direct Patient Care (including telehealth) - 40+ Hours
Percentage (%) of patient care hours spent on telehealth - 0
Training - 40+ Hours
Research - None
Administration - None
Other - None
Primary Practice Location
Zip - 92507-6486
United States Primary Practice Location
Secondary Practice Location
Not Applicable
Are you Hispanic, Latino/a, or of Spanish origin?
No
Race
White/Caucasian
Language Fluency
Decline to State
Gender Identity
Decline to State

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