Indiana
Professional Licensing Agency
CLYDE ERHARDT BLACKARD
Physician
License number
01018000A
Date granted
09/04/1957
Date expires
06/30/1982
Class
Physician
Status
Expired Non-Renewable
Address
BLOOMINGTON MN 55437
indianalicensing.org
ID 6028951
LAST UPDATED 2026-03-20 21:45:41 UTC
LAST UPDATED 2026-03-20 21:45:41 UTC
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