SIDNEY J BLATT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036044059

License Status

NOT RENEWED

Business

First Name

SIDNEY J

Last Name

BLATT

Suffix

Business Name

SIDNEY J BLATT MD

Original Issue Date

02/09/1971

Effective Date

02/09/1971

City

SALT LAKE

State

Zip

84109

County

UTAH

Ever Disciplined

LastModifiedDate

09/20/2006