Janine Blackman

Medical doctor

Germantown, United States

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Full name

Janine Blackman

Job Title

Medical Doctor

Location

Germantown, MD, USA

LIC ID

165935

Current License Expiration Date

31/01/2025

Original Date

24/01/2023

Professional Rank Code

Effective Date

24/01/2023

Board Action Indicator

License Status Description

CLEAR

License Active Status Description

ACTIVE

Country Description

Out of State

Practice Location Address Line 1

21745 Brink Meadow Lane

Practice Location Address City

GERMANTOWN

Practice Location Address State

Practice Location Address Zipcode

20876

Mode Code

Dispensing Practitioner

Prescribing Indicator

Dispensing Indicator

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