CHARLES R BLACKWELL MD - Medical Doctor License in Missouri | # 036040659

CHARLES R BLACKWELL MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036040659

License Status

NOT RENEWED

Business

N

First Name

CHARLES R

Last Name

BLACKWELL

Suffix

MD

Business Name

CHARLES R BLACKWELL MD

Original Issue Date

09/01/1966

Effective Date

09/01/1966

Expiration Date

07/31/1999

State

MO

Ever Disciplined

N

LastModifiedDate

09/20/2006