WILLIAM F BLANK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036081467

License Status

NOT RENEWED

Business

First Name

WILLIAM F

Last Name

BLANK

Suffix

Business Name

WILLIAM F BLANK MD

Original Issue Date

09/07/1990

Effective Date

11/27/2017

Expiration Date

09/30/2020

City

CHAFFEE

State

Zip

63740

County

MISSOURI

Ever Disciplined

LastModifiedDate

01/14/2021

Case Number

1993006560

Action

Probation

Discipline Start Date

07/22/1994

Discipline Reason

Disciplined in Missouri.