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Licensing details for: PTL 10867

Name: Blight, Brennan James

License Type: Postgraduate Training License

Primary Status: License Canceled Primary Status Definition

School Name: University of Utah School of Medicine

Graduation Year: 2021

Previous Names: Blight, Brennan

Current Enrolled Postgraduate Training Program

Facility Name: HCA HEALTHCARE RIVERSIDE PROGRAM

City: Riverside

State: California

Speciality: Anesthesiology

Start Date: 07/01/2022

Anticipated End Date: 09/30/2023

Address of Record

4510 Brockton Ave
RIVERSIDE CA 92501-4015
RIVERSIDE county
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Issuance Date

December 22, 2022

Expiration Date

N/A

Current Date / Time

April 3, 2026
1:57:28 AM

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License Relationships

Postgraduate Training License associated with Physician & Surgeon License

License/Registration Role: Postgraduate Training License

Related Party Role: Physician & Surgeon

Name: Blight, Brennan James

License/Registration Type: Physician's and Surgeon's

License Number: 190949 Primary Status: License Renewed & Current

Address :
4510 Brockton Ave
RIVERSIDE CA 92501-4015
RIVERSIDE COUNTY

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