ERIN K BLACKBURN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036143533

License Status

NOT RENEWED

Business

Title

First Name

ERIN

Middle

Last Name

BLACKBURN

Business Name

ERIN K BLACKBURN MD

Original Issue Date

06/19/2017

Effective Date

09/01/2020

Expiration Date

07/31/2023

City

GARDEN CITY

State

Zip

67846

Ever Disciplined

LastModifiedDate

11/30/2023