STEVE BLACKBURN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085010469

License Status

ACTIVE

Business

First Name

STEVE

Last Name

BLACKBURN

Business Name

STEVE BLACKBURN

Original Issue Date

06/05/2024

Effective Date

06/05/2024

Expiration Date

03/01/2026

City

NEW BERLIN

State

Zip

53151

Ever Disciplined

LastModifiedDate

12/03/2025