JOSEPH ALLEN BLACKMON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036166813

License Status

ACTIVE

Business

Title

First Name

JOSEPH

Middle

ALLEN

Last Name

BLACKMON

Business Name

JOSEPH ALLEN BLACKMON MD

Original Issue Date

08/30/2023

Effective Date

08/30/2023

Expiration Date

07/31/2026

City

PADUCAH

State

Zip

42003

Ever Disciplined

LastModifiedDate

08/30/2023