JAMES P BLAKELY MD - Medical Doctor License in Missouri | # 036052664

JAMES P BLAKELY MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036052664

License Status

NOT RENEWED

Business

N

First Name

JAMES P

Last Name

BLAKELY

Suffix

MD

Business Name

JAMES P BLAKELY MD

Original Issue Date

04/15/1976

Effective Date

04/15/1976

State

MO

Ever Disciplined

N

LastModifiedDate

09/20/2006