Indiana
Professional Licensing Agency
Allen Peter Blackmon
Physician Assistant
License number
10000771A
Date granted
06/09/2005
Date expires
06/30/2010
Class
Physician Assistant
Status
Expired
Address
Elkhart IN 46514
indianalicensing.org
ID 8389580
LAST UPDATED 2024-04-22 14:14:09 UTC
LAST UPDATED 2024-04-22 14:14:09 UTC
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