WILLIAM K BLAYLOCK MD - Medical Doctor License in Virginia | # 036073179

WILLIAM K BLAYLOCK MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036073179

License Status

INACTIVE

Business

N

First Name

WILLIAM K

Last Name

BLAYLOCK

Suffix

MD

Business Name

WILLIAM K BLAYLOCK MD

Original Issue Date

07/15/1986

Effective Date

07/15/1986

Expiration Date

07/31/1990

State

VA

Ever Disciplined

N

LastModifiedDate

09/20/2006