ETHYL S BLATT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036082042

License Status

NOT RENEWED

Business

First Name

ETHYL S

Last Name

BLATT

Suffix

Business Name

ETHYL S BLATT MD

Original Issue Date

01/29/1991

Effective Date

01/29/1991

Expiration Date

07/31/1996

City

CINCINNATI

State

Zip

45237

County

OHIO

Ever Disciplined

LastModifiedDate

09/20/2006