Sue Ellen Blackstad
Medical - Athletic Trainer
Minnesota 1564 Canceled
This Minnesota license was held by Sue Ellen Blackstad. The license is no longer active. It was granted on 01/13/2001 and expired on 06/30/2005
LICENSE DETAILS
- License Number: 1564
- Category: Athletic Trainer
- Status: Canceled
- Date Granted: 01/13/2001 (over 23 years ago)
- Expiry Date: 06/30/2005 (about 19 years ago)
LOCATIONS
A Address
475 Lake Park Blvd Apt 2, Fairmont, MN 56031