License holder summary

Jay Howard Blackburn is a Dentist licensed to practice in Indiana. The address on file for Jay Howard Blackburn is La Porte IN 46350. This licensed professional license is not current. The license was granted 08/13/1987 and expired on 03/01/1990.

Indiana

Professional Licensing Agency

Jay Howard Blackburn
Dentist
License number
12008954A
Date granted
08/13/1987
Date expires
03/01/1990
Class
Dentist
Status
Expired
Address
La Porte IN 46350
indianalicensing.org
ID 5293064
LAST UPDATED 2024-03-28 06:02:36 UTC

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