CARL F BLATT JR MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036064272

License Status

INACTIVE

Business

First Name

CARL F

Last Name

BLATT JR

Suffix

Business Name

CARL F BLATT JR MD

Original Issue Date

04/29/1982

Effective Date

04/29/1982

Expiration Date

07/31/1996

City

WASHINGTON

State

Zip

63090

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/20/2006