License holder summary

Roy Manell Blackburn III is a Physician licensed to practice in Indiana. The address on file for Roy Manell Blackburn III is Elizabethtown KY 42701. This licensed professional license is not current. The license was granted 09/28/1995 and expired on 06/30/2003.

Indiana

Professional Licensing Agency

Roy Manell Blackburn III
Physician
License number
01044381A
Date granted
09/28/1995
Date expires
06/30/2003
Class
Physician
Status
Expired Non-Renewable
Address
Elizabethtown KY 42701
indianalicensing.org
ID 6046669
LAST UPDATED 2024-04-16 05:35:33 UTC

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