WILLIAM VINCENT BLAZEK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036035995

License Status

NOT RENEWED

Business

First Name

WILLIAM VINCENT

Last Name

BLAZEK

Suffix

Business Name

WILLIAM VINCENT BLAZEK MD

Original Issue Date

08/31/1959

Effective Date

04/22/2011

Expiration Date

07/31/2014

City

HILTON HEAD

State

Zip

29928

County

SOUTH CAROLINA

Ever Disciplined

LastModifiedDate

11/17/2014