PATRICIA JANE BLACKWELL Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003993

License Status

INACTIVE

Business

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

City

HUDSON

State

Zip

34667

County

FLORIDA

Ever Disciplined

LastModifiedDate

10/17/2005