BLAKE ANTHONY HEINZ DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036168257

License Status

ACTIVE

Business

Title

First Name

BLAKE

Middle

ANTHONY

Last Name

HEINZ

Business Name

BLAKE ANTHONY HEINZ DO

Original Issue Date

01/12/2024

Effective Date

01/12/2024

Expiration Date

07/31/2026

City

ABERDEEN

State

Zip

57401

County

BROWN

Ever Disciplined

LastModifiedDate

01/12/2024