License holder summary

Sue Ellen Blackstad is a Medical - Athletic Trainer licensed to practice in Minnesota. The address on file for Sue Ellen Blackstad is 475 Lake Park Blvd Apt 2, Fairmont, MN 56031. This licensed professional license is not current. The license was granted 01/13/2001 and expired on 06/30/2005.

Minnesota

Department of Labor and Industry

Sue Ellen Blackstad
Medical - Athletic Trainer
License number
1564
Date granted
01/13/2001
Date expires
06/30/2005
Class
Medical - Athletic Trainer
Status
Canceled
Address
475 Lake Park Blvd Apt 2, Fairmont, MN 56031
mnlicensing.org
ID 22344984
LAST UPDATED 2024-02-23 20:04:57 UTC

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