Charles Wilfred Blackwell
Medical - Physician And Surgeon
Minnesota 16523 Canceled
This Minnesota license was held by Charles Wilfred Blackwell. The license is no longer active. It was granted on 05/08/1964 and expired on 12/31/1967
LICENSE DETAILS
- License Number: 16523
- Category: Physician and Surgeon
- Status: Canceled
- Date Granted: 05/08/1964 (almost 61 years ago)
- Expiry Date: 12/31/1967 (over 57 years ago)
LOCATIONS
A Address
201 W. Broadway, Columbia, MO 53201