ROY M BLACKBURN (Credential# 555789) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is August 27, 2002. The license expiration date date is August 31, 2003. The license status is INACTIVE.
ROY M BLACKBURN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.038199. The credential type is physician/surgeon. The effective date is August 27, 2002. The expiration date is August 31, 2003. The business address is 803 N. Dixie Ave, Ste 234, Elizabethtown, KY 42701. The current status is inactive.
| Licensee Name | ROY M BLACKBURN |
| Credential ID | 555789 |
| Credential Number | 1.038199 |
| Credential Type | Physician/Surgeon |
| Business Address |
803 N. Dixie Ave, Ste 234 Elizabethtown KY 42701 |
| Business Type | INDIVIDUAL |
| Status | INACTIVE - LAPSED DUE TO NON-RENEWAL |
| Issue Date | 1999-10-15 |
| Effective Date | 2002-08-27 |
| Expiration Date | 2003-08-31 |
| Refresh Date | 2009-07-08 |
| Street Address | 803 N. Dixie Ave, Ste 234 |
| City | Elizabethtown |
| State | KY |
| Zip Code | 42701 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Connie Morrison | 1936 Lakewood Drive, Elizabethtown, KY 42701 | Hairdresser/cosmetician | 2020-07-01 ~ 2022-06-30 |
| Donya Thorne Gardner Claycamp | 27 Farmers Road, Elizabethtown, KY 42701 | Registered Nurse | 2018-08-01 ~ 2019-07-31 |
| Barbara J Carroll | 212 Thoroughbred Lane, Elizabethtown, KY 42701 | Registered Nurse | 2014-02-01 ~ 2015-01-31 |
| Thomas J Gotreaux | 202 South Mantle Ave, Elizabethtown, KY 42701 | Registered Nurse | 2012-03-02 ~ 2013-02-28 |
| Saadia Qureshi Md | 217 Evergreen Garden Drive, Elizabeth Town, KY 42701 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Michael James Woodrum II | C/o David G Day, Elizabethtown, KY 42701 | Engineer-in-training | 2000-01-11 ~ 2010-01-11 |
| Raymundo C Racela | 2526 Shadow Creek Lane, Elizabethtown, KY 42701 | Physician/surgeon | 2010-02-01 ~ 2011-01-31 |
| Paul Kensicki Md | 1105 Juliana Court Ste #3, Elizabethtown, KY 42701 | Physician/surgeon | 2004-10-18 ~ 2005-11-30 |
| George R Nickell | 159 Secretariat Road, Elizabethtown, KY 42701 | Registered Nurse | 2004-02-23 ~ 2004-11-30 |
| Ups Supply Chain Solutions Inc | 800 N Black Branch Rd, Elizabethtown, KY 42701 | Wholesaler of Drugs, Cosmetics & Medical Devices | 2004-07-01 ~ 2005-06-30 |
| Find all Licenses in zip 42701 | |||
| City | Elizabethtown |
| Zip Code | 42701 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + Elizabethtown |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Bradley A Blackburn | 200 California Rd Apt 21, Bronxville, NY 10708-4427 | Physician/surgeon | 1985-07-12 ~ 1987-04-30 |
| Christina G Aranda | 15 Blackburn Ct., New Hartford, NY 13413 | Physician/surgeon | 2009-04-15 ~ 2009-09-30 |
| Eric Davis | 3000 Blackburn, Dallas, TX 75204 | Physician/surgeon | 2007-09-11 ~ 2008-08-31 |
| John A Blackburn | Blackburn Architects, Washington, DC 20036 | Architect | 2019-08-01 ~ 2020-07-31 |
| Paul Blackburn · Blackburn Carpentry Services | 167 West Granby Rd, Granby, CT 06035 | Home Improvement Contractor | 2019-12-01 ~ 2020-11-30 |
| Holly Blackburn | 205 Church Street, New Haven, CT 06510 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Blackburn Enterprises LLC · Pietra Santa Winery | 10034 Cienega Rd, Hollister, CA 95023-9617 | Out of State Winery | 2016-02-27 ~ 2017-02-26 |
| Blackburn 609 Paso Robles | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2006-03-21 ~ 2009-03-20 |
| Blackburn Pinot Noir | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2011-07-07 ~ 2014-07-06 |
| Blackburn Zinfandel Central Coast | Connecticut Brand Registration, Hartford, CT 06106 | Liquor Brand Label | 2011-10-18 ~ 2014-10-17 |
Please comment or provide details below to improve the information on ROY M BLACKBURN.
| Data Provider | Connecticut Department of Consumer Protection |
| Jurisdiction | Connecticut |
| Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).