JIM D BLANKENSHIP MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036076942

License Status

INACTIVE

Business

First Name

JIM D

Last Name

BLANKENSHIP

Suffix

Business Name

JIM D BLANKENSHIP MD

Original Issue Date

04/25/1988

Effective Date

04/25/1988

Expiration Date

07/31/2002

City

EUREKA

State

Zip

63025

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/09/2006