BLAINE R JONES MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036094797

License Status

NOT RENEWED

Business

First Name

BLAINE R

Last Name

JONES

Suffix

Business Name

BLAINE R JONES MD

Original Issue Date

02/10/1997

Effective Date

02/10/1997

Expiration Date

07/31/1999

City

FORT DRUM

State

Zip

13603

County

NEW YORK

Ever Disciplined

LastModifiedDate

09/20/2006