CARRIE FONTENOT BLADES MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036163991

License Status

ACTIVE

Business

Title

First Name

CARRIE

Middle

FONTENOT

Last Name

BLADES

Business Name

CARRIE FONTENOT BLADES MD

Original Issue Date

03/16/2023

Effective Date

06/03/2023

Expiration Date

07/31/2026

City

CYPRESS

State

Zip

77433

Ever Disciplined

LastModifiedDate

06/03/2023