MARLENE L BLAISE MD - Medical Doctor License in Georgia | # 036090486

MARLENE L BLAISE MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036090486

License Status

INACTIVE

Business

N

First Name

MARLENE L

Last Name

BLAISE

Suffix

MD

Business Name

MARLENE L BLAISE MD

Original Issue Date

04/06/1995

Effective Date

04/06/1995

Expiration Date

07/31/1999

State

GA

Ever Disciplined

N

LastModifiedDate

09/20/2006