JEFFREY ALAN BLATNIK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

ACTIVE

Business

Title

First Name

JEFFREY

Middle

ALAN

Last Name

BLATNIK

Business Name

JEFFREY ALAN BLATNIK MD

Original Issue Date

10/22/2020

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

SAINT LOUIS

State

Zip

63110

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2023