MARY SUSAN BLANKS MD - Medical Doctor License in New Jersey | # 036062151

MARY SUSAN BLANKS MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036062151

License Status

INACTIVE

Business

N

Title

MD

First Name

MARY

Middle

SUSAN

Last Name

BLANKS

Business Name

MARY SUSAN BLANKS MD

Original Issue Date

05/27/1981

Effective Date

05/14/2014

Expiration Date

07/31/2017

State

NJ

Ever Disciplined

N

LastModifiedDate

04/11/2017