Allen Peter Blackmon
ExpiredIllinois license 38*****90
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 38*****90
- Status
- Expired (Not Renewed)
- First issued
- March 8, 2001
- Expired
- March 1, 2006
- License holder
- Allen Peter Blackmon
- Entity type
- Individual
Classifications
- Physician Assistant Controlled Substance Physicians & Surgeons
More from the license record
- Current term began
- 03/08/2001
Other Illinois licenses under this name
-
IL
ExpiredBloomingdale, ILExpired Mar 1, 2006
Contact
Bloomingdale, IL 60108
Dupage County