JENNIFER MELISSA BLAIR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036117811

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

MELISSA

Last Name

BLAIR

Suffix

Business Name

JENNIFER MELISSA BLAIR MD

Original Issue Date

03/09/2007

Effective Date

07/10/2014

Expiration Date

07/31/2017

City

YPSILANTI

State

Zip

48198

County

MICHIGAN

Ever Disciplined

LastModifiedDate

11/01/2017