Michaela Rose Blackwell

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

085010688

Status

Expired (Not Renewed)

First issued

August 28, 2024

Expired

March 1, 2026

License holder

Michaela Rose Blackwell

Entity type

Individual

Classifications

• Licensed Physician Assistant Physicians & Surgeons

More from the license record

Current term began

08/28/2024

Other Illinois licenses under this name

• IL
  Michaela Rose Blackwell

  License 38*****50

  Physician Assistant Controlled Substance
  Expired

  Rockford, IL

  Expired Mar 1, 2026

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