Roy Manell Blackburn
Medical - Physician
Colorado 37534 Expired
This Colorado license was held by Roy Manell Blackburn. The license is no longer active. It was granted on 11/12/1998 and expired on 05/31/2007
LICENSE DETAILS
- License Number: 37534
- Category: Physician
- Status: Expired
- Date Granted: 11/12/1998 (over 25 years ago)
- Expiry Date: 05/31/2007 (almost 17 years ago)
LOCATIONS
A Address
803 N DIXIE AVE PMB 234, ELIZABETHTOWN, KY, 42701-2701