KELLY SAMUEL BLAIR MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036104689

License Status

INACTIVE

Business

First Name

KELLY

Middle

SAMUEL

Last Name

BLAIR

Suffix

Business Name

KELLY SAMUEL BLAIR MD

Original Issue Date

05/14/2001

Effective Date

05/14/2001

Expiration Date

07/31/2002

City

KNOXVILLE

State

Zip

37940

County

KNOX

Ever Disciplined

LastModifiedDate

02/09/2015