TIMOTHY A BLAIN - Medical Doctor License in Florida | # 036099057

TIMOTHY A BLAIN

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036099057

License Status

INACTIVE

Business

N

First Name

TIMOTHY

Middle

A

Last Name

BLAIN

Business Name

TIMOTHY A BLAIN

Original Issue Date

09/18/1998

Effective Date

05/15/2008

Expiration Date

07/31/2011

State

FL

Ever Disciplined

N

LastModifiedDate

04/07/2011