The holder whose full name is BLACKBURN, CHARLES R,come from INACTIVE IA,hold the CSR-Osteopathic Physician license(NO.02000004B) which status is Expired.
| Name | BLACKBURN, CHARLES R |
|---|---|
| License Number | 02000004B |
| License Type | CSR-Osteopathic Physician |
| License Status | Expired |
| City | INACTIVE |
| State | IA |