MICHAELA ROSE BLACKWELL Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085010688

License Status

ACTIVE

Business

First Name

MICHAELA

Middle

ROSE

Last Name

BLACKWELL

Business Name

MICHAELA ROSE BLACKWELL

Original Issue Date

08/28/2024

Effective Date

08/28/2024

Expiration Date

03/01/2026

City

DOVER

State

Zip

03820

Ever Disciplined

LastModifiedDate

12/03/2025