SIDNEY J BLATT MD - Medical Doctor License in Utah | # 036044059

SIDNEY J BLATT MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036044059

License Status

NOT RENEWED

Business

N

First Name

SIDNEY J

Last Name

BLATT

Suffix

MD

Business Name

SIDNEY J BLATT MD

Original Issue Date

02/09/1971

Effective Date

02/09/1971

State

UT

Ever Disciplined

N

LastModifiedDate

09/20/2006