License holder summary

Jerry Bob Blacklock is a Medical - Physician And Surgeon licensed to practice in Minnesota. The address on file for Jerry Bob Blacklock is 5139 Indigo, Houston, TX 77096. This doctor license is not current. The license was granted 10/10/1981 and expired on 12/31/1984.

Department of Safety and Professional Services

Board of Medical Practice

Jerry Bob Blacklock
Medical - Physician And Surgeon
License number
26523
Date granted
10/10/1981
Date expires
12/31/1984
Class
Medical - Physician And Surgeon
Status
Canceled
Address
5139 Indigo, Houston, TX 77096
doctorsminnesota.org
ID 22161490
LAST UPDATED 2024-02-13 20:44:32 UTC

This website is unaffiliated with the Board of Medical Practice. Please verify all information directly with the relevant official government authority.

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