RON BLANKSTEIN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111545

License Status

NOT RENEWED

Business

First Name

RON

Last Name

BLANKSTEIN

Business Name

RON BLANKSTEIN

Original Issue Date

06/04/2004

Effective Date

07/25/2011

Expiration Date

07/31/2014

City

CAMBRIDGE

State

Zip

02139

County

MASSACHUSETTS

Ever Disciplined

LastModifiedDate

11/17/2014