MICHAEL ANTHONY BLAIN DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036122763

License Status

ACTIVE

Business

Title

First Name

MICHAEL

Middle

ANTHONY

Last Name

BLAIN

Business Name

MICHAEL ANTHONY BLAIN DO

Original Issue Date

03/04/2009

Effective Date

05/25/2023

Expiration Date

07/31/2026

City

ELDORADO

State

Zip

62930

County

SALINE

Ever Disciplined

LastModifiedDate

05/25/2023