License holder summary

SCOTT LEE BLEAZARD is a Medical Physician And Surgeon licensed to practice in Pennsylvania. The address on file for SCOTT LEE BLEAZARD is Mount Shasta CA 96067. This medical practitioner license is not current. The license was granted 02/28/2012 and expired on 12/31/2014.

Department of State

Board of Medicine

SCOTT LEE BLEAZARD
Medical Physician And Surgeon
License number
MD445138
Date granted
02/28/2012
Date expires
12/31/2014
Class
Medical Physician And Surgeon
Status
Inactive
Address
Mount Shasta CA 96067
medicinepa.com
ID 37592094
LAST UPDATED 2024-03-06 19:53:27 UTC

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