QUENTIN BLACKSHEAR ALLEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036115918

License Status

NOT RENEWED

Business

First Name

QUENTIN

Middle

BLACKSHEAR

Last Name

ALLEN

Suffix

Business Name

QUENTIN BLACKSHEAR ALLEN MD

Original Issue Date

05/12/2006

Effective Date

04/20/2011

Expiration Date

07/31/2014

City

PALM CITY

State

Zip

34990

Ever Disciplined

LastModifiedDate

12/03/2014