ANDREW BLACKBURNE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036156280

License Status

ACTIVE

Business

Title

First Name

ANDREW

Last Name

BLACKBURNE

Business Name

ANDREW BLACKBURNE MD

Original Issue Date

03/26/2021

Effective Date

06/08/2023

Expiration Date

07/31/2026

City

SAINT LOUIS

State

Zip

63141

Ever Disciplined

LastModifiedDate

06/08/2023