CARL F BLATT JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****88

License Status

NOT RENEWED

Business

First Name

CARL F

Last Name

BLATT JR

Suffix

Business Name

CARL F BLATT JR MD

Original Issue Date

02/01/1983

Effective Date

02/01/1983

Expiration Date

07/31/1987

City

ST LOUIS

State

Zip

63105

County

MISSOURI

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006