BLANCA R DAVID MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036085349

License Status

NOT RENEWED

Business

First Name

BLANCA R

Last Name

DAVID

Suffix

Business Name

BLANCA R DAVID MD

Original Issue Date

09/15/1992

Effective Date

09/15/1992

Expiration Date

07/31/2002

City

ANDERSON

State

Zip

46011

County

INDIANA

Ever Disciplined

LastModifiedDate

10/09/2006