ELLEN ROSE BLATT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036143795

License Status

NOT RENEWED

Business

Title

First Name

ELLEN

Middle

ROSE

Last Name

BLATT

Business Name

ELLEN ROSE BLATT MD

Original Issue Date

07/10/2017

Effective Date

07/10/2017

Expiration Date

09/30/2020

City

DENVER

State

Zip

80210

County

COLORADO

Ever Disciplined

LastModifiedDate

01/14/2021