MARLENE ZOUEIN EP BLAIZOT MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053846

License Status

CANCELLED

Business

Title

First Name

MARLENE

Last Name

ZOUEIN EP BLAIZOT

Business Name

MARLENE ZOUEIN EP BLAIZOT MD

Original Issue Date

07/26/2007

Effective Date

07/26/2007

Expiration Date

07/25/2010

City

DRAPER

State

Zip

84020

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

07/26/2007