Indiana
Professional Licensing Agency
Brad Blachly Swelstad
Controlled Substance Registration - Physician
License number
01069945B
Date granted
08/01/2011
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Deaconess Womens Hospital - attn: Wynter Deckman, 4199 Gateway Blvd., Newburgh IN 47630
indianalicensing.org
ID 5905359
LAST UPDATED 2024-04-19 01:49:36 UTC
LAST UPDATED 2024-04-19 01:49:36 UTC
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