SUSAN BLATT MD - Medical Doctor License in Utah | # 036043417

SUSAN BLATT MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036043417

License Status

NOT RENEWED

Business

N

First Name

SUSAN

Last Name

BLATT

Suffix

MD

Business Name

SUSAN BLATT MD

Original Issue Date

06/30/1970

Effective Date

06/30/1970

State

UT

Ever Disciplined

N

LastModifiedDate

09/20/2006