Jerry Bob Blacklock
Medical - Physician And Surgeon
Minnesota 26523 Canceled
This Minnesota license was held by Jerry Bob Blacklock. The license is no longer active. It was granted on 10/10/1981 and expired on 12/31/1984
LICENSE DETAILS
- License Number: 26523
- Category: Physician and Surgeon
- Status: Canceled
- Date Granted: 10/10/1981 (over 42 years ago)
- Expiry Date: 12/31/1984 (over 39 years ago)
LOCATIONS
A Address
5139 Indigo, Houston, TX 77096