KEITH R BLICHT Podiatrist License verification

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004522

License Status

INACTIVE

Business

First Name

KEITH R

Last Name

BLICHT

Business Name

KEITH R BLICHT

Original Issue Date

05/30/1991

Effective Date

05/30/1991

Expiration Date

01/31/1993

City

COMMACK

State

Zip

11725

County

NEW YORK

Ever Disciplined

LastModifiedDate

09/25/2006