KENNETH ALAN BLANK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036157391

License Status

ACTIVE

Business

Title

First Name

KENNETH

Middle

ALAN

Last Name

BLANK

Business Name

KENNETH ALAN BLANK MD

Original Issue Date

06/11/2021

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

POTOMAC

State

Zip

20854

County

MONTGOMERY

Ever Disciplined

LastModifiedDate

03/16/2025