License holder summary

ANTHONY S BLAZYS is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for ANTHONY S BLAZYS is ST JOSEPH'S MEDICAL CENTER, 801 E LASALLE, SOUTH BEND IN 46634. This licensed professional license is not current. The license was granted 08/23/1991 and expired on 06/30/1993.

Indiana

Professional Licensing Agency

ANTHONY S BLAZYS
Controlled Substance Registration - Physician
License number
01038942B
Date granted
08/23/1991
Date expires
06/30/1993
Class
Controlled Substance Registration - Physician
Status
Expired
Address
ST JOSEPH'S MEDICAL CENTER, 801 E LASALLE, SOUTH BEND IN 46634
indianalicensing.org
ID 5920417
LAST UPDATED 2024-03-02 04:06:58 UTC

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