License holder summary

Jared Carson Blackmore is a Temporary Physician Assistant Permit licensed to practice in Indiana. The address on file for Jared Carson Blackmore is Troy OH 45373. This licensed professional license is not current. The license was granted 10/21/2013 and expired on 07/21/2014.

Indiana

Professional Licensing Agency

Jared Carson Blackmore
Temporary Physician Assistant Permit
License number
99059494A
Date granted
10/21/2013
Date expires
07/21/2014
Class
Temporary Physician Assistant Permit
Status
Superceded
Address
Troy OH 45373
indianalicensing.org
ID 12366737
LAST UPDATED 2024-03-01 02:40:51 UTC

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