JIM D BLANKENSHIP MD - Medical Doctor License in Missouri | # 036076942

JIM D BLANKENSHIP MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036076942

License Status

INACTIVE

Business

N

First Name

JIM D

Last Name

BLANKENSHIP

Suffix

MD

Business Name

JIM D BLANKENSHIP MD

Original Issue Date

04/25/1988

Effective Date

04/25/1988

Expiration Date

07/31/2002

State

MO

Ever Disciplined

N

LastModifiedDate

10/09/2006