ERVIN A BLANDO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036085721

License Status

NOT RENEWED

Business

Title

First Name

ERVIN

Middle

Last Name

BLANDO

Business Name

ERVIN A BLANDO MD

Original Issue Date

12/14/1992

Effective Date

07/29/2011

Expiration Date

07/31/2014

City

VALPARAISO

State

Zip

46385

County

INDIANA

Ever Disciplined

LastModifiedDate

11/17/2014