DENNIS ROBERT BLAHA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036054140

License Status

NOT RENEWED

Business

First Name

DENNIS ROBERT

Last Name

BLAHA

Suffix

Business Name

DENNIS ROBERT BLAHA MD

Original Issue Date

02/15/1977

Effective Date

02/15/1977

Expiration Date

07/31/1987

City

PHOENIX

State

Zip

85018

County

ARIZONA

Ever Disciplined

LastModifiedDate

09/20/2006