Utah
Division of Occupational and Professional Licensing
MICHELE BLACKWELL
Physician - Physician & Surgeon
License number
7158450-1205
Date granted
01/27/2009
Date expires
01/31/2012
Class
Physician - Physician & Surgeon
Status
Expired
Address
GALVESTON, TX 77554
utahlicensing.org
ID 29930796
LAST UPDATED 2024-04-11 01:43:33 UTC
LAST UPDATED 2024-04-11 01:43:33 UTC
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