ROBERT D BLANKENSHIP MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036040881

License Status

NOT RENEWED

Business

First Name

ROBERT D

Last Name

BLANKENSHIP

Suffix

Business Name

ROBERT D BLANKENSHIP MD

Original Issue Date

01/20/1967

Effective Date

07/14/2017

Expiration Date

09/30/2020

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

01/14/2021