RICHARD T BLASZAK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036087209

License Status

NOT RENEWED

Business

First Name

RICHARD T

Last Name

BLASZAK

Suffix

Business Name

RICHARD T BLASZAK MD

Original Issue Date

08/13/1993

Effective Date

08/13/1993

Expiration Date

07/31/2002

City

LITTLE ROCK

State

Zip

72202

County

ARKANSAS

Ever Disciplined

LastModifiedDate

05/22/2014