License Directory

Gerald W Blackburn

Active

Michigan license 5101006566

License

Licensed by
Michigan Department of Licensing and Regulatory Affairs
License number
5101006566
Status
Active
First issued
July 1, 1974
Expires
July 1, 2027
License holder
Gerald W Blackburn
Entity type
Individual

Classifications

Contact

Corewell Health - Farmington Hills
28080 Grand River Suite 306
Farmington Hills, MI 48336
Oakland County