DANIEL W BLUE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036079742

License Status

NOT RENEWED

Business

First Name

DANIEL W

Last Name

BLUE

Suffix

Business Name

DANIEL W BLUE MD

Original Issue Date

03/02/1990

Effective Date

03/02/1990

Expiration Date

07/31/1996

City

SATELLITE BEACH

State

Zip

32937

County

FLORIDA

Ever Disciplined

LastModifiedDate

09/20/2006