JASON HOWARD BLASENAK DO - Medical Doctor License in South Carolina | # 036159090

JASON HOWARD BLASENAK DO

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036159090

License Status

ACTIVE

Business

N

Title

DO

First Name

JASON

Middle

HOWARD

Last Name

BLASENAK

Business Name

JASON HOWARD BLASENAK DO

Original Issue Date

01/03/2022

Effective Date

05/20/2023

Expiration Date

07/31/2026

State

SC

Ever Disciplined

N

LastModifiedDate

05/20/2023