Ivory Ann Blackwell, DA
Dental Assistant
New Mexico DA3024 Revoked
This New Mexico license was held by Ivory Ann Blackwell, DA. The license is no longer active. It was granted on 04/17/2006 and expired on 06/30/2008
LICENSE DETAILS
- License Number: DA3024
- Category: Dental Assistant
- Status: Revoked
- Date Granted: 04/17/2006 (about 18 years ago)
- Expiry Date: 06/30/2008 (almost 16 years ago)
LOCATIONS
A Address
Aztec, NM, 87410