License holder summary

THEODORE ALTON BLAINE is a Medical Physician And Surgeon licensed to practice in Pennsylvania. The address on file for THEODORE ALTON BLAINE is TENAFLY NJ 07670-2040. This medical practitioner license is not current. The license was granted 09/24/1997 and expired on 12/31/1998.

Department of State

Board of Medicine

THEODORE ALTON BLAINE
Medical Physician And Surgeon
License number
MD063807L
Date granted
09/24/1997
Date expires
12/31/1998
Class
Medical Physician And Surgeon
Status
Inactive
Address
TENAFLY NJ 07670-2040
medicinepa.com
ID 37589785
LAST UPDATED 2024-03-06 00:20:36 UTC

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