WILLIAM K BLAYLOCK MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036073179

License Status

INACTIVE

Business

First Name

WILLIAM K

Last Name

BLAYLOCK

Suffix

Business Name

WILLIAM K BLAYLOCK MD

Original Issue Date

07/15/1986

Effective Date

07/15/1986

Expiration Date

07/31/1990

City

NORFOLK

State

Zip

23507

County

VIRGINIA

Ever Disciplined

LastModifiedDate

09/20/2006