License holder summary

Michael W. Blanton is a Temporary Medical Doctor Permit licensed to practice in Indiana. The address on file for Michael W. Blanton is Evansville IN 47713. This licensed professional license is not current. The license was granted 12/12/2002 and expired on 03/12/2003.

Indiana

Professional Licensing Agency

Michael W. Blanton
Temporary Medical Doctor Permit
License number
99007383A
Date granted
12/12/2002
Date expires
03/12/2003
Class
Temporary Medical Doctor Permit
Status
Superceded
Address
Evansville IN 47713
indianalicensing.org
ID 6130617
LAST UPDATED 2024-04-18 07:14:43 UTC

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