Indiana
Professional Licensing Agency
BLAKE HORIO
Controlled Substance Registration - Physician
License number
01047252B
Date granted
07/24/1997
Date expires
06/30/2003
Class
Controlled Substance Registration - Physician
Status
Expired
Address
BRODERSON WILLIAMS EYE INSTITUTE INC, 6850 HOHMAN AVENUE, HAMMOND IN 46324
indianalicensing.org
ID 5863576
LAST UPDATED 2024-02-23 00:55:24 UTC
LAST UPDATED 2024-02-23 00:55:24 UTC
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