ROBERT D BLANKENSHIP MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****88

License Status

NOT RENEWED

Business

First Name

ROBERT D

Last Name

BLANKENSHIP

Suffix

Business Name

ROBERT D BLANKENSHIP MD

Original Issue Date

01/01/1997

Effective Date

07/14/2017

Expiration Date

09/30/2020

City

GRANITE CITY

State

Zip

62040

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021