License holder summary

ANTONIUS , JOHN IVAN BLAIR is a Department Of Health - Medical Doctor licensed to practice in Tennessee. This medical licensee license is not current. The license was granted 11/22/2005 and expired on 07/31/2009.

Department of Health

Board of Medical Examiners

ANTONIUS , JOHN IVAN BLAIR
Department Of Health - Medical Doctor
License number
40588
Date granted
11/22/2005
Date expires
07/31/2009
Class
Department Of Health - Medical Doctor
Status
Retired
Address
medicaltn.com
ID 42171198
LAST UPDATED 2024-04-22 00:38:56 UTC

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