CHARLES RUFUS BLACKWELL MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036040656

License Status

INACTIVE

Business

First Name

CHARLES RUFUS

Last Name

BLACKWELL

Suffix

Business Name

CHARLES RUFUS BLACKWELL MD

Original Issue Date

09/01/1966

Effective Date

09/01/1966

Expiration Date

07/31/1987

City

OLINETTE

State

Zip

63132

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/20/2006