DONALD JOHN BLASKIEWICZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036126192

License Status

NOT RENEWED

Business

First Name

DONALD

Middle

JOHN

Last Name

BLASKIEWICZ

Suffix

Business Name

DONALD JOHN BLASKIEWICZ MD

Original Issue Date

07/01/2010

Effective Date

07/01/2010

Expiration Date

07/31/2011

City

THOUSAND OAKS

State

Zip

91320

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

11/14/2011