PATRICIA JANE BLACKWELL - Dentist License in Florida | # 020003993

PATRICIA JANE BLACKWELL

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003993

License Status

INACTIVE

Business

N

First Name

PATRICIA JANE

Last Name

BLACKWELL

Business Name

PATRICIA JANE BLACKWELL

Original Issue Date

09/05/1979

Effective Date

09/05/1979

Expiration Date

09/30/2000

State

FL

Ever Disciplined

N

LastModifiedDate

10/17/2005