License holder summary

Angela Sue Fornkohl Blum is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Angela Sue Fornkohl Blum is New Castle Pediatrics/Henry County Hospital, 1000 N. 16th Street Ste G-10, New Castle IN 47362. This licensed professional license is current. The license was granted 05/23/2007 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Angela Sue Fornkohl Blum
Controlled Substance Registration - Physician
License number
01063222B
Date granted
05/23/2007
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
New Castle Pediatrics/Henry County Hospital, 1000 N. 16th Street Ste G-10, New Castle IN 47362
indianalicensing.org
ID 5904267
LAST UPDATED 2024-03-02 19:07:13 UTC

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