License holder summary

LISA RENEE BLACKWOOD is a Medical Physician And Surgeon licensed to practice in Pennsylvania. The address on file for LISA RENEE BLACKWOOD is Brooklyn NY 11203. This medical practitioner license is not current. The license was granted 03/16/2011 and expired on 12/31/2012.

Department of State

Board of Medicine

LISA RENEE BLACKWOOD
Medical Physician And Surgeon
License number
MD442242
Date granted
03/16/2011
Date expires
12/31/2012
Class
Medical Physician And Surgeon
Status
Expired
Address
Brooklyn NY 11203
medicinepa.com
ID 37591909
LAST UPDATED 2024-03-10 18:34:08 UTC

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