License holder summary

Kimberly Suzzane Blackwell is a Controlled Substance Registration-Physician Assistant licensed to practice in Indiana. The address on file for Kimberly Suzzane Blackwell is Indiana Hemophilia and Thrombosis Center, 8402 Harcourt Rd Ste 500, Indianapolis IN 46260. This licensed professional license is not current. The license was granted 06/27/2008 and expired on 06/30/2010.

Indiana

Professional Licensing Agency

Kimberly Suzzane Blackwell
Controlled Substance Registration-Physician Assistant
License number
10000609B
Date granted
06/27/2008
Date expires
06/30/2010
Class
Controlled Substance Registration-Physician Assistant
Status
Expired
Address
Indiana Hemophilia and Thrombosis Center, 8402 Harcourt Rd Ste 500, Indianapolis IN 46260
indianalicensing.org
ID 8387298
LAST UPDATED 2024-02-25 05:49:50 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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