Indiana
Professional Licensing Agency
BOBBY GENE BLACK
Controlled Substance Registration - Physician
License number
01036317B
Date granted
01/28/1994
Date expires
06/30/1999
Class
Controlled Substance Registration - Physician
Status
Expired
Address
SOUTH CENTRAL COMMUNITY MENTAL HEALTH, 645 S ROGERS, BLOOMINGTON IN 47403
indianalicensing.org
ID 5823841
LAST UPDATED 2024-02-16 18:52:19 UTC
LAST UPDATED 2024-02-16 18:52:19 UTC
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