License Directory

Brice W Blatz

Expired

California license A124037

License

Licensed by
Medical Board of California
License number
A124037
Status
Expired (Delinquent)
First issued
December 28, 2012
Expired
September 30, 2026
License holder
Brice W Blatz
Entity type
Individual

Classifications

More from the license record

License type code
8002

Contact

17704 Jean Way
Suite 110
Lake Oswego, OR 97035-5497
Clackamas County