License holder summary

Allen Peter Blackmon is a Physician Assistant licensed to practice in Indiana. The address on file for Allen Peter Blackmon is Elkhart IN 46514. This licensed professional license is not current. The license was granted 06/09/2005 and expired on 06/30/2010.

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 2026-05-17 00:05:10 UTC

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