JAMES G BLANCO Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000918

License Status

NOT RENEWED

Business

First Name

JAMES G

Last Name

BLANCO

Business Name

JAMES G BLANCO

Original Issue Date

05/29/1997

Effective Date

05/29/1997

Expiration Date

03/01/1998

City

TIERRA VERDE

State

Zip

33715

County

FLORIDA

Ever Disciplined

LastModifiedDate

09/26/2006