BLAINE R JONES MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****83

License Status

NOT RENEWED

Business

First Name

BLAINE R

Last Name

JONES

Suffix

Business Name

BLAINE R JONES MD

Original Issue Date

02/18/1997

Effective Date

02/18/1997

Expiration Date

07/31/1999

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006