CAROYN RUTH BLACKMAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036167013

License Status

ACTIVE

Business

Title

First Name

CAROYN

Middle

RUTH

Last Name

BLACKMAN

Business Name

CAROYN RUTH BLACKMAN MD

Original Issue Date

09/14/2023

Effective Date

09/14/2023

Expiration Date

07/31/2026

City

STRATFORD

State

Zip

06614

Ever Disciplined

LastModifiedDate

01/09/2024