ANDY JAY BLINT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036117808

License Status

ACTIVE

Business

First Name

ANDY

Middle

JAY

Last Name

BLINT

Suffix

Business Name

ANDY JAY BLINT MD

Original Issue Date

03/09/2007

Effective Date

05/17/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/17/2023