Allen Peter Blackmon

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

085000178

Status

Expired (Not Renewed)

First issued

April 13, 1978

Expired

March 1, 2006

License holder

Allen Peter Blackmon

Entity type

Individual

Classifications

• Licensed Physician Assistant Physicians & Surgeons

More from the license record

Current term began

04/13/1978

Other Illinois licenses under this name

• IL
  Allen Peter Blackmon

  License 38*****90

  Physician Assistant Controlled Substance
  Expired

  Bloomingdale, IL

  Expired Mar 1, 2006

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