BLONDELL A GAGE MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036090460

License Status

INACTIVE

Business

First Name

BLONDELL A

Last Name

GAGE

Suffix

Business Name

BLONDELL A GAGE MD

Original Issue Date

04/04/1995

Effective Date

04/04/1995

Expiration Date

07/31/1996

City

SAN FRANCISCO

State

Zip

94127

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

09/20/2006