License holder summary

Jonathan E. Blake is a Controlled Substance Registration-Osteopathic Physician licensed to practice in Indiana. The address on file for Jonathan E. Blake is 5255 E. Stop 11 Road, Suite 300, Indianapolis IN 46237. This licensed professional license is current. The license was granted 04/26/2013 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Jonathan E. Blake
Controlled Substance Registration-Osteopathic Physician
License number
02004203B
Date granted
04/26/2013
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
5255 E. Stop 11 Road, Suite 300, Indianapolis IN 46237
indianalicensing.org
ID 5804821
LAST UPDATED 2024-02-06 20:35:32 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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