BRENT ALAN BLUE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036092748

License Status

ACTIVE

Business

First Name

BRENT ALAN

Last Name

BLUE

Suffix

Business Name

BRENT ALAN BLUE MD

Original Issue Date

05/21/1996

Effective Date

05/24/2023

Expiration Date

07/31/2026

City

WILSON

State

Zip

83014

Ever Disciplined

LastModifiedDate

05/24/2023