JAMES P BLAKELY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

NOT RENEWED

Business

First Name

JAMES P

Last Name

BLAKELY

Suffix

Business Name

JAMES P BLAKELY MD

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

MARYLAND HEIGHTS

State

Zip

63043

County

MISSOURI

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006