License holder summary

BLUM, JACK, MD is a Medical - Physician licensed to practice in Georgia. The address on file for BLUM, JACK, MD is 4701 TEXAS BLVD | BOX 194, TEXARKANA 75503. This doctor license is not current. The license was granted 03/20/1974 and expired on 12/31/1993.

Georgia

Composite Medical Board

BLUM, JACK, MD
Medical - Physician
License number
016004
Date granted
03/20/1974
Date expires
12/31/1993
Class
Medical - Physician
Status
Lapsed
Address
4701 TEXAS BLVD | BOX 194
georgiadoctors.net
ID 38029212
LAST UPDATED 2024-01-29 07:10:11 UTC

This website is unaffiliated with the Composite Medical Board. Please verify all information directly with the relevant official government authority.

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