AMANDA J BLEICHNER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052390

License Status

EXPIRED

Business

First Name

AMANDA

Middle

Last Name

BLEICHNER

Suffix

Business Name

AMANDA J BLEICHNER MD

Original Issue Date

06/22/2008

Effective Date

06/22/2008

Expiration Date

06/21/2010

City

CARBONDALE

State

Zip

62901

County

JACKSON

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

06/24/2010