VILRAY P BLAIR III MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****76

License Status

NOT RENEWED

Business

First Name

VILRAY P

Last Name

BLAIR III

Suffix

Business Name

VILRAY P BLAIR III MD

Original Issue Date

12/04/2006

Effective Date

12/04/2006

Expiration Date

07/31/2008

City

NASHVILLE

State

Zip

62263

County

WASHINGTON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020