Indiana
Professional Licensing Agency
BLAINE MICHAEL LISNER
Controlled Substance Registration - Physician
License number
01035941B
Date granted
05/28/1987
Date expires
06/30/1991
Class
Controlled Substance Registration - Physician
Status
Expired
Address
EVANSVILLE NEUROLOGIC SERVICES, 519 HARRIET STREET, EVANSVILLE IN 47710
indianalicensing.org
ID 5849320
LAST UPDATED 2024-03-08 07:19:08 UTC
LAST UPDATED 2024-03-08 07:19:08 UTC
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