DAVID N BLOCK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036061145

License Status

NOT RENEWED

Business

First Name

DAVID N

Last Name

BLOCK

Suffix

Business Name

DAVID N BLOCK MD

Original Issue Date

10/31/1980

Effective Date

10/31/1980

Expiration Date

07/31/1996

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

09/20/2006