DERRICK LEWIS BLACKWELL
Osteopathic Medicine & Surgery - Osteopathic Physician
Michigan 5101016178 Lapsed
This Michigan license was held by DERRICK LEWIS BLACKWELL. The license is no longer active. It was granted on 05/04/2007 and expired on 12/31/2007
LICENSE DETAILS
- License Number: 5101016178
- Category: Osteopathic Physician
- Status: Lapsed
- Date Granted: 05/04/2007 (about 18 years ago)
- Expiry Date: 12/31/2007 (over 17 years ago)