RICHARD HARVEY BLANKSHAIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****90

License Status

NOT RENEWED

Business

First Name

RICHARD HARVEY

Last Name

BLANKSHAIN

Suffix

Business Name

RICHARD HARVEY BLANKSHAIN MD

Original Issue Date

01/01/1997

Effective Date

07/30/2014

Expiration Date

07/31/2017

City

PARRISH

State

Zip

34219

County

FLORIDA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017