License holder summary

Ivory Ann Blackwell, DA is a Dental Assistant licensed to practice in New Mexico. The address on file for Ivory Ann Blackwell, DA is Aztec, NM, 87410. This licensed professional license is not current. The license was granted 04/17/2006 and expired on 06/30/2008.

New Mexico

Regulation & Licensing Department

Ivory Ann Blackwell, DA
Dental Assistant
License number
DA3024
Date granted
04/17/2006
Date expires
06/30/2008
Class
Dental Assistant
Status
Revoked
Address
Aztec, NM, 87410
licensingnm.com
ID 4320726
LAST UPDATED 2024-03-14 04:25:26 UTC

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