MICHAEL P BLOUSTINE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036131971

License Status

NOT RENEWED

Business

Title

First Name

MICHAEL

Middle

Last Name

BLOUSTINE

Business Name

MICHAEL P BLOUSTINE MD

Original Issue Date

01/29/2013

Effective Date

01/29/2013

Expiration Date

07/31/2014

City

MCPHERSON

State

Zip

67460

County

KANSAS

Ever Disciplined

LastModifiedDate

11/17/2014