RICHARD A BLATH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036094406

License Status

NOT RENEWED

Business

First Name

RICHARD A

Last Name

BLATH

Suffix

Business Name

RICHARD A BLATH MD

Original Issue Date

10/21/1996

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

CHESTERFIELD

State

Zip

63017

County

MISSOURI

Ever Disciplined

LastModifiedDate

11/14/2011