License holder summary

ANDREW STEPHEN BLAZAR is a Medical Physician And Surgeon licensed to practice in Pennsylvania. The address on file for ANDREW STEPHEN BLAZAR is PROVIDENCE RI 02906. This licensed professional license is not current. The license was granted 03/02/1961 and expired on 12/31/1974.

Pennsylvania

Department of State

ANDREW STEPHEN BLAZAR
Medical Physician And Surgeon
License number
MD006004E
Date granted
03/02/1961
Date expires
12/31/1974
Class
Medical Physician And Surgeon
Status
Expired
Address
PROVIDENCE RI 02906
palicensing.org
ID 16627948
LAST UPDATED 2024-03-12 22:04:56 UTC

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