MARK F BLUMENTHAL MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036075564

License Status

INACTIVE

Business

First Name

MARK F

Last Name

BLUMENTHAL

Suffix

Business Name

MARK F BLUMENTHAL MD

Original Issue Date

07/25/1987

Effective Date

07/25/1987

Expiration Date

07/31/2002

City

SAINT LOUIS

State

Zip

63131

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/09/2006