RICHARD A BLATH MD - Medical Doctor License in Missouri | # 036094406

RICHARD A BLATH MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036094406

License Status

NOT RENEWED

Business

N

First Name

RICHARD A

Last Name

BLATH

Suffix

MD

Business Name

RICHARD A BLATH MD

Original Issue Date

10/21/1996

Effective Date

04/17/2008

Expiration Date

07/31/2011

State

MO

Ever Disciplined

N

LastModifiedDate

11/14/2011