RAMON MICHAEL BLANCO JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036047303

License Status

NOT RENEWED

Business

First Name

RAMON MICHAEL

Last Name

BLANCO JR

Suffix

Business Name

RAMON MICHAEL BLANCO JR MD

Original Issue Date

04/23/1973

Effective Date

04/23/1973

City

HAMMOND

State

Zip

46324

County

INDIANA

Ever Disciplined

LastModifiedDate

09/20/2006