JOHN ROBERT BLACKWELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036151367

License Status

NOT RENEWED

Business

Title

First Name

JOHN

Middle

ROBERT

Last Name

BLACKWELL

Business Name

JOHN ROBERT BLACKWELL MD

Original Issue Date

12/13/2019

Effective Date

09/25/2020

Expiration Date

07/31/2023

City

METAIRIE

State

Zip

70005

Ever Disciplined

LastModifiedDate

11/30/2023