Indiana
Professional Licensing Agency
ARTHUR GAIUS BLAZEY
Controlled Substance Registration - Physician
License number
01012709B
Date granted
04/30/1986
Date expires
06/30/1995
Class
Controlled Substance Registration - Physician
Status
Expired
Address
P O BOX 418, CHRISTMAS LAKE VILLAGE, SANTA CLAUS IN 47579
indianalicensing.org
ID 5916839
LAST UPDATED 2024-04-08 05:59:17 UTC
LAST UPDATED 2024-04-08 05:59:17 UTC
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