JEFFREY D BLODGETT DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036079364

License Status

NOT RENEWED

Business

First Name

JEFFREY

Middle

Last Name

BLODGETT

Suffix

Business Name

JEFFREY D BLODGETT DO

Original Issue Date

08/25/1989

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

PALMDALE

State

Zip

93551

Ever Disciplined

LastModifiedDate

11/20/2008

Case Number

2008000173

Action

Revocation

Discipline Start Date

09/03/2008

Discipline Reason

Disciplined in the states of Missouri and California.