LAWRENCE ELEY BLANCHARD III MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036056415

License Status

NOT RENEWED

Business

First Name

LAWRENCE ELEY

Last Name

BLANCHARD III

Suffix

Business Name

LAWRENCE ELEY BLANCHARD III MD

Original Issue Date

02/09/1978

Effective Date

02/09/1978

City

WEBSTER GROVES

State

Zip

63119

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/20/2006