Robert Charles Blackmon, IV
Temporary Medical Doctor Permit
Indiana 99054955A Superceded
This Indiana license was held by Robert Charles Blackmon, IV. The license is no longer active. It was granted on 11/30/2012 and expired on 02/28/2013
LICENSE DETAILS
- License Number: 99054955A
- Category: Temporary MD Permit
- Status: Superceded
- Date Granted: 11/30/2012 (over 12 years ago)
- Expiry Date: 02/28/2013 (about 12 years ago)
LOCATIONS
A Address
Mishawaka IN 46544