JACQUELYN A BLACKSTONE DO Medical Doctor License verification

JACQUELYN A BLACKSTONE DO

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036140473

License Status

NOT RENEWED

Business

Title

First Name

JACQUELYN

Middle

Last Name

BLACKSTONE

Business Name

JACQUELYN A BLACKSTONE DO

Original Issue Date

04/22/2016

Effective Date

04/22/2016

Expiration Date

07/31/2017

City

ALBUQUERQUE

State

Zip

87106

County

NEW MEXICO

Ever Disciplined

LastModifiedDate

11/01/2017

Case Number

2016002101

Action

Reprimand

Discipline Start Date

04/15/2016

Discipline Reason

for having history of discipline by the Maine Board of Osteopathic Licensure for treating and prescribing controlled substances for her significant other.