David Michael Blacklock
Medical - Physician
Colorado 21174 Expired
This Colorado license was held by David Michael Blacklock. The license is no longer active. It was granted on 10/11/1977 and expired on 05/31/1993
LICENSE DETAILS
- License Number: 21174
- Category: Physician
- Status: Expired
- Date Granted: 10/11/1977 (over 47 years ago)
- Expiry Date: 05/31/1993 (almost 32 years ago)
LOCATIONS
A Address
907 MOUND, NACOGDOCHES, TX, 75961-5961