STEPHEN LAWRENCE BLONSKY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036154754

License Status

ACTIVE

Business

Title

First Name

STEPHEN

Middle

LAWRENCE

Last Name

BLONSKY

Business Name

STEPHEN LAWRENCE BLONSKY MD

Original Issue Date

11/13/2020

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

MUSKEGO

State

Zip

53150

Ever Disciplined

LastModifiedDate

04/06/2023