JEFFREY F BLOCK MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036042868

License Status

INACTIVE

Business

First Name

JEFFREY F

Last Name

BLOCK

Suffix

Business Name

JEFFREY F BLOCK MD

Original Issue Date

01/16/1969

Effective Date

01/16/1969

Expiration Date

07/31/1987

City

PORTAGE

State

Zip

49081

County

MICHIGAN

Ever Disciplined

LastModifiedDate

09/20/2006