License Directory

Charles R Blackwell Md

Expired

Illinois license 036040659

License

Licensed by
Illinois Department of Financial and Professional Regulation
License number
036040659
Status
Expired (Not Renewed)
First issued
September 1, 1966
Expired
July 31, 1999
License holder
Charles R Blackwell Md
Entity type
Individual

Classifications

More from the license record

Current term began
09/01/1966

Contact

St Louis, MO 63132
Missouri County