ADAM MICHAEL BLATT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036156540

License Status

NOT RENEWED

Business

Title

First Name

ADAM

Middle

MICHAEL

Last Name

BLATT

Business Name

ADAM MICHAEL BLATT MD

Original Issue Date

04/14/2021

Effective Date

04/14/2021

Expiration Date

07/31/2023

City

NEWPORT BEACH

State

Zip

92660

Ever Disciplined

LastModifiedDate

11/30/2023