Derrick Lewis Blackwell
Controlled Substance Registration-Osteopathic Physician
Indiana 02003948B Active
This Indiana license is held by Derrick Lewis Blackwell. The license is currently active. It was granted on 11/04/2011 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 02003948B
- Category: CSR-Osteopathic Physician
- Status: Active
- Date Granted: 11/04/2011 (over 13 years ago)
- Expiry Date: 10/31/2015 (over 9 years ago)
LOCATIONS
A Address
St. Mary's Convenient Care, 5320 Weston Rd., Evansville IN 47712
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