JEFFREY A BLONDER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036059360

License Status

NOT RENEWED

Business

First Name

JEFFREY

Middle

Last Name

BLONDER

Suffix

Business Name

JEFFREY A BLONDER MD

Original Issue Date

09/18/1979

Effective Date

04/12/2011

Expiration Date

07/31/2014

City

LOUDONVILLE

State

Zip

12211

County

NEW YORK

Ever Disciplined

LastModifiedDate

11/17/2014