BLAINE C HARTFORD DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED OSTEOPATH

License Number

037000508

License Status

NOT RENEWED

Business

First Name

BLAINE C

Last Name

HARTFORD

Suffix

Business Name

BLAINE C HARTFORD DO

Original Issue Date

01/01/1997

City

MENDOTA

State

Zip

61342

County

LA SALLE

Ever Disciplined

LastModifiedDate

09/21/2006