CHARLES C BLACKWELL JR MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036029724

License Status

INACTIVE

Business

First Name

CHARLES C

Last Name

BLACKWELL JR

Suffix

Business Name

CHARLES C BLACKWELL JR MD

Original Issue Date

11/17/1949

Effective Date

11/17/1949

Expiration Date

07/31/1987

City

PARADISE VALLEY

State

Zip

85253

County

ARIZONA

Ever Disciplined

LastModifiedDate

09/20/2006