JOHN BUTLER BLALOCK JR. MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036150337

License Status

NOT RENEWED

Business

Title

First Name

JOHN

Middle

BUTLER

Last Name

BLALOCK

Suffix

JR.

Business Name

JOHN BUTLER BLALOCK JR. MD

Original Issue Date

07/26/2019

Effective Date

07/26/2019

Expiration Date

09/30/2020

City

MOUNTAIN BRK

State

Zip

35213

County

JEFFERSON

Ever Disciplined

LastModifiedDate

01/14/2021