BARRY MICHAEL BLUMENTHAL - Physician Assistant License in Florida | # 085000197

BARRY MICHAEL BLUMENTHAL

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000197

License Status

NOT RENEWED

Business

N

First Name

BARRY MICHAEL

Last Name

BLUMENTHAL

Business Name

BARRY MICHAEL BLUMENTHAL

Original Issue Date

10/19/1979

Effective Date

10/19/1979

Expiration Date

03/01/1988

State

FL

Ever Disciplined

N

LastModifiedDate

09/26/2006