Patricia Jane Blackwell
InactiveIllinois license 020003993
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 020003993
- Status
- Inactive
- First issued
- September 5, 1979
- Expired
- September 30, 2000
- License holder
- Patricia Jane Blackwell
- Entity type
- Individual
Classifications
- Registered Dental Hygienist Dental
More from the license record
- Current term began
- 09/05/1979
Contact
Hudson, FL 34667
Florida County