License holder summary

Brian Eric Blough is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Brian Eric Blough is 12980 State Road 23, Suite F, Granger IN 46530. This licensed professional license is not current. The license was granted 12/17/1993 and expired on 03/01/2010.

Indiana

Professional Licensing Agency

Brian Eric Blough
Controlled Substance Registration - Dentist
License number
12009617B
Date granted
12/17/1993
Date expires
03/01/2010
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
12980 State Road 23, Suite F, Granger IN 46530
indianalicensing.org
ID 5098291
LAST UPDATED 2024-01-31 22:40:17 UTC

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