MARY SUSAN BLANKS MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036062151

License Status

INACTIVE

Business

Title

First Name

MARY

Middle

SUSAN

Last Name

BLANKS

Business Name

MARY SUSAN BLANKS MD

Original Issue Date

05/27/1981

Effective Date

05/14/2014

Expiration Date

07/31/2017

City

SKILLMAN

State

Zip

08558

County

NEW JERSEY

Ever Disciplined

LastModifiedDate

04/11/2017