JAMES P BLAKELY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036052664

License Status

NOT RENEWED

Business

First Name

JAMES P

Last Name

BLAKELY

Suffix

Business Name

JAMES P BLAKELY MD

Original Issue Date

04/15/1976

Effective Date

04/15/1976

City

MARYLAND HEIGHTS

State

Zip

63043

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/20/2006