RICHARD CHARLES BLANKS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036153972

License Status

ACTIVE

Business

Title

First Name

RICHARD

Middle

CHARLES

Last Name

BLANKS

Business Name

RICHARD CHARLES BLANKS MD

Original Issue Date

08/07/2020

Effective Date

05/17/2023

Expiration Date

07/31/2026

City

CHAMPAIGN

State

Zip

61822

Ever Disciplined

LastModifiedDate

05/17/2023