Michaela Rose Blackwell
ExpiredIllinois license 38*****50
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 38*****50
- Status
- Expired (Not Renewed)
- First issued
- November 8, 2024
- Expired
- March 1, 2026
- License holder
- Michaela Rose Blackwell
- Entity type
- Individual
Classifications
- Physician Assistant Controlled Substance Physicians & Surgeons
More from the license record
- Delegated controlled substance schedules
- II III IV V
- Current term began
- 11/08/2024
Other Illinois licenses under this name
-
IL
ExpiredDover, NHExpired Mar 1, 2026
Contact
Rockford, IL 61114
Winnebago County