Indiana
Professional Licensing Agency
Blanca Rosa David
Controlled Substance Registration - Physician
License number
01041183B
Date granted
05/25/1993
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
1601 Medical Arts Boulevard Suite 100, Anderson IN 46011
indianalicensing.org
ID 5816657
LAST UPDATED 2024-03-11 23:05:38 UTC
LAST UPDATED 2024-03-11 23:05:38 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.