License holder summary

LISA D BLACKBURN is a Medical Physician And Surgeon licensed to practice in Pennsylvania. The address on file for LISA D BLACKBURN is Haddon Township NJ 08107. This medical practitioner license is not current. The license was granted 03/28/2006 and expired on 12/31/2012.

Department of State

Board of Medicine

LISA D BLACKBURN
Medical Physician And Surgeon
License number
MD428706
Date granted
03/28/2006
Date expires
12/31/2012
Class
Medical Physician And Surgeon
Status
Inactive
Address
Haddon Township NJ 08107
medicinepa.com
ID 37592653
LAST UPDATED 2024-03-26 21:08:34 UTC

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