GEORGE L BLACKBURN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036083996

License Status

NOT RENEWED

Business

First Name

GEORGE L

Last Name

BLACKBURN

Suffix

Business Name

GEORGE L BLACKBURN MD

Original Issue Date

02/22/1992

Effective Date

02/22/1992

Expiration Date

07/31/1993

City

BOSTON

State

Zip

02215

County

MASSACHUSETTS

Ever Disciplined

LastModifiedDate

09/20/2006