ROBERT HENRY BLACKWELL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036138479

License Status

ACTIVE

Business

Title

First Name

ROBERT

Middle

HENRY

Last Name

BLACKWELL

Business Name

ROBERT HENRY BLACKWELL MD

Original Issue Date

06/26/2015

Effective Date

06/20/2023

Expiration Date

07/31/2026

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

06/20/2023