License holder summary

KENNETH ROBERT BLANK is a Medical Physician And Surgeon licensed to practice in Pennsylvania. The address on file for KENNETH ROBERT BLANK is GLEN RIDGE NJ 07028-2415. This medical practitioner license is not current. The license was granted 11/28/1995 and expired on 12/31/2000.

Department of State

Board of Medicine

KENNETH ROBERT BLANK
Medical Physician And Surgeon
License number
MD057493L
Date granted
11/28/1995
Date expires
12/31/2000
Class
Medical Physician And Surgeon
Status
Inactive
Address
GLEN RIDGE NJ 07028-2415
medicinepa.com
ID 37589426
LAST UPDATED 2024-02-23 16:44:26 UTC

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