MATTHEW BLAINE EUBANKS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054678

License Status

CANCELLED

Business

Title

First Name

MATTHEW

Middle

BLAINE

Last Name

EUBANKS

Business Name

MATTHEW BLAINE EUBANKS MD

Original Issue Date

07/01/2008

Effective Date

07/01/2008

Expiration Date

06/30/2011

City

HARRISBURG

State

Zip

62946

Specialty/Qualifier

Internal Medicine/Pediatrics

Ever Disciplined

LastModifiedDate

05/02/2008