REGINA MICHELLE ADAIR-BLACKWELL M.D. Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036178212

License Status

ACTIVE

Business

Title

M.D.

First Name

REGINA

Middle

MICHELLE

Last Name

ADAIR-BLACKWELL

Business Name

REGINA MICHELLE ADAIR-BLACKWELL M.D.

Original Issue Date

12/11/2025

Effective Date

12/11/2025

Expiration Date

07/31/2026

City

FORT WAYNE

State

Zip

46845

Ever Disciplined

LastModifiedDate

12/11/2025