DENNIS ROBERT BLAHA MD - Medical Doctor License in Arizona | # 036054140

DENNIS ROBERT BLAHA MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036054140

License Status

NOT RENEWED

Business

N

First Name

DENNIS ROBERT

Last Name

BLAHA

Suffix

MD

Business Name

DENNIS ROBERT BLAHA MD

Original Issue Date

02/15/1977

Effective Date

02/15/1977

Expiration Date

07/31/1987

State

AZ

Ever Disciplined

N

LastModifiedDate

09/20/2006