JOHN PAUL BLANK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036060654

License Status

NOT RENEWED

Business

First Name

JOHN PAUL

Last Name

BLANK

Suffix

Business Name

JOHN PAUL BLANK MD

Original Issue Date

07/18/1980

Effective Date

07/18/1980

Expiration Date

07/31/1993

City

ORONO

State

Zip

55356

County

MINNESOTA

Ever Disciplined

LastModifiedDate

09/20/2006