JASON HOWARD BLASENAK DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036159090

License Status

ACTIVE

Business

Title

First Name

JASON

Middle

HOWARD

Last Name

BLASENAK

Business Name

JASON HOWARD BLASENAK DO

Original Issue Date

01/03/2022

Effective Date

05/20/2023

Expiration Date

07/31/2026

City

SPARTANBURG

State

Zip

29307

Ever Disciplined

LastModifiedDate

05/20/2023