ANNIE T BORDERS-BLACKWELL DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036105807

License Status

NOT RENEWED

Business

First Name

ANNIE

Middle

Last Name

BORDERS-BLACKWELL

Suffix

Business Name

ANNIE T BORDERS-BLACKWELL DO

Original Issue Date

11/06/2001

Effective Date

06/25/2014

Expiration Date

07/31/2017

City

WINSTONVILLE

State

Zip

38781

County

MISSISSIPPI

Ever Disciplined

LastModifiedDate

02/02/2018

Case Number

2017011130

Action

Refuse To Renew

Discipline Start Date

01/24/2018

Discipline Reason

due to sister-state discipline imposed by Mississippi revoking her license due to a Federal Felony.