Indiana
Professional Licensing Agency
Blair S. MacPhail
Controlled Substance Registration - Physician
License number
01039182B
Date granted
04/18/1991
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
13100 E. 136th Street, Suite 3000, Fishers IN 46037
indianalicensing.org
ID 5851719
LAST UPDATED 2024-01-24 17:25:14 UTC
LAST UPDATED 2024-01-24 17:25:14 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.