LINDY JULY BLACKWELL Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003314

License Status

NOT RENEWED

Business

First Name

LINDY

Middle

JULY

Last Name

BLACKWELL

Business Name

LINDY JULY BLACKWELL

Original Issue Date

09/16/2008

Effective Date

02/17/2022

Expiration Date

03/01/2024

City

FORSYTH

State

Zip

62535

County

MACON

Ever Disciplined

LastModifiedDate

02/05/2025