JOHN STUART BLANKENSHIP MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057081

License Status

EXPIRED

Business

Title

First Name

JOHN

Middle

STUART

Last Name

BLANKENSHIP

Business Name

JOHN STUART BLANKENSHIP MD

Original Issue Date

06/26/2012

Effective Date

06/26/2012

Expiration Date

06/25/2014

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

03/13/2015