License holder summary

ALICE E BLACK SCHAFFER is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for ALICE E BLACK SCHAFFER is 4510 BLACKSTONE COURT, BLOOMINGTON IN 47408. This licensed professional license is not current. The license was granted 08/22/1968 and expired on 06/30/1997.

Indiana

Professional Licensing Agency

ALICE E BLACK SCHAFFER
Controlled Substance Registration - Physician
License number
01022414B
Date granted
08/22/1968
Date expires
06/30/1997
Class
Controlled Substance Registration - Physician
Status
Expired
Address
4510 BLACKSTONE COURT, BLOOMINGTON IN 47408
indianalicensing.org
ID 5823720
LAST UPDATED 2024-02-13 04:41:35 UTC

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