License holder summary

Blake Addison Spain is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Blake Addison Spain is MEMORIAL HOSPITAL, 1101 Michigan Avenue, Logansport IN 46947. This licensed professional license is not current. The license was granted 07/01/1990 and expired on 06/30/2003.

Indiana

Professional Licensing Agency

Blake Addison Spain
Controlled Substance Registration - Physician
License number
01038537B
Date granted
07/01/1990
Date expires
06/30/2003
Class
Controlled Substance Registration - Physician
Status
Expired
Address
MEMORIAL HOSPITAL, 1101 Michigan Avenue, Logansport IN 46947
indianalicensing.org
ID 5884809
LAST UPDATED 2024-04-04 13:30:21 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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