ROBERT HENRY BLACKWELL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****41

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

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/20/2023