License holder summary

Alfonso A. Blum is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Alfonso A. Blum is 2001 Columbus Drive, East Chicago IN 46312-2829. This licensed professional license is current. The license was granted 07/24/2007 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Alfonso A. Blum
Controlled Substance Registration - Physician
License number
01062815B
Date granted
07/24/2007
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
2001 Columbus Drive, East Chicago IN 46312-2829
indianalicensing.org
ID 5844837
LAST UPDATED 2024-03-01 03:31:45 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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