DERRICK LEWIS BLACKWELL
Osteopathic Medicine & Surgery - Osteopathic Educational Limited
Michigan 5101016178 Voided
This Michigan license was held by DERRICK LEWIS BLACKWELL. The license is no longer active. It was granted on 07/01/2004 and expired on 06/30/2007
LICENSE DETAILS
- License Number: 5101016178
- Category: Osteopathic - Educational Limited
- Status: Voided
- Date Granted: 07/01/2004 (almost 21 years ago)
- Expiry Date: 06/30/2007 (almost 18 years ago)