KAREN DYER BLACKWELL Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005182

License Status

NOT RENEWED

Business

First Name

KAREN

Middle

DYER

Last Name

BLACKWELL

Business Name

KAREN DYER BLACKWELL

Original Issue Date

08/28/2014

Effective Date

02/26/2016

Expiration Date

03/01/2018

City

SCOTT AFB

State

Zip

62225

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/10/2018