ERIC SCOTT BLACKWELL M.D. Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036175918

License Status

ACTIVE

Business

Title

M.D.

First Name

ERIC

Middle

SCOTT

Last Name

BLACKWELL

Business Name

ERIC SCOTT BLACKWELL M.D.

Original Issue Date

07/08/2025

Effective Date

07/08/2025

Expiration Date

07/31/2026

City

KALAMAZOO

State

Zip

49009

Ever Disciplined

LastModifiedDate

07/08/2025