JACK DEAN BLAND MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036040657

License Status

INACTIVE

Business

First Name

JACK DEAN

Last Name

BLAND

Suffix

Business Name

JACK DEAN BLAND MD

Original Issue Date

09/01/1966

Effective Date

09/01/1966

Expiration Date

07/31/1987

City

HENDERSON

State

Zip

42420

County

KENTUCKY

Ever Disciplined

LastModifiedDate

09/20/2006