RONALD BLAZEY BUKOWY MD - Medical Doctor License in Florida | # 33*****06

RONALD BLAZEY BUKOWY MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

CANCELLED

Business

N

First Name

RONALD BLAZEY

Last Name

BUKOWY

Suffix

MD

Business Name

RONALD BLAZEY BUKOWY MD

Original Issue Date

01/01/1997

Expiration Date

09/01/1982

State

FL

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

04/05/2020