ROBERT STANLEY BLACKLOW MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036058201

License Status

INACTIVE

Business

First Name

ROBERT STANLEY

Last Name

BLACKLOW

Suffix

Business Name

ROBERT STANLEY BLACKLOW MD

Original Issue Date

12/12/1978

Effective Date

12/12/1978

Expiration Date

07/31/1987

City

PHILADELPHIA

State

Zip

19107

County

PENNSYLVANIA

Ever Disciplined

LastModifiedDate

09/20/2006