Indiana
Professional Licensing Agency
Larry Lee Blankenship, Jr.
Controlled Substance Registration - Physician
License number
01043570B
Date granted
03/23/1995
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
1601 Medical Arts Blvd, Suite 102, Anderson IN 46011
indianalicensing.org
ID 5817652
LAST UPDATED 2024-04-25 21:02:14 UTC
LAST UPDATED 2024-04-25 21:02:14 UTC
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