TODD MICHAEL BLODGETT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036122404

License Status

NOT RENEWED

Business

First Name

TODD

Middle

MICHAEL

Last Name

BLODGETT

Suffix

Business Name

TODD MICHAEL BLODGETT MD

Original Issue Date

01/06/2009

Effective Date

07/17/2017

Expiration Date

09/30/2020

City

PITTSBURGH

State

Zip

15238

County

PENNSYLVANIA

Ever Disciplined

LastModifiedDate

01/14/2021