ROBERT J BLASKIEWICZ Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

NOT RENEWED

Business

First Name

ROBERT J

Last Name

BLASKIEWICZ

Business Name

ROBERT J BLASKIEWICZ

Original Issue Date

10/24/1995

Effective Date

10/24/1995

Expiration Date

07/31/1999

City

NASHVILLE

State

Zip

62263

County

WASHINGTON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006