License holder summary

Johnny Deblock is a Controlled Substance Registration-Osteopathic Physician licensed to practice in Indiana. The address on file for Johnny Deblock is Fort Wayne Medical Education Program, 2434 Lake Avenue, Fort Wayne IN 46805. This licensed professional license is not current. The license was granted 07/13/1999 and expired on 06/30/2001.

Indiana

Professional Licensing Agency

Johnny Deblock
Controlled Substance Registration-Osteopathic Physician
License number
02002083B
Date granted
07/13/1999
Date expires
06/30/2001
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
Fort Wayne Medical Education Program, 2434 Lake Avenue, Fort Wayne IN 46805
indianalicensing.org
ID 5800530
LAST UPDATED 2024-02-29 18:16:15 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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