License holder summary

Derrick Lewis Blackwell is a Controlled Substance Registration-Osteopathic Physician licensed to practice in Indiana. The address on file for Derrick Lewis Blackwell is St. Mary's Convenient Care, 5320 Weston Rd., Evansville IN 47712. This licensed professional license is current. The license was granted 11/04/2011 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Derrick Lewis Blackwell
Controlled Substance Registration-Osteopathic Physician
License number
02003948B
Date granted
11/04/2011
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
St. Mary's Convenient Care, 5320 Weston Rd., Evansville IN 47712
indianalicensing.org
ID 5799486
LAST UPDATED 2024-04-24 18:33:56 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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