License holder summary

Carl William Blickendorf is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Carl William Blickendorf is 1340 WEST STATE BLVD, FORT WAYNE IN 46808. This licensed professional license is not current. The license was granted 04/30/1986 and expired on 03/01/2008.

Indiana

Professional Licensing Agency

Carl William Blickendorf
Controlled Substance Registration - Dentist
License number
12006284B
Date granted
04/30/1986
Date expires
03/01/2008
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
1340 WEST STATE BLVD, FORT WAYNE IN 46808
indianalicensing.org
ID 5094274
LAST UPDATED 2024-04-11 23:32:15 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

Reviews

Are you familiar with Carl William Blickendorf's work? Add a comment below. You can write anonymously and without having to create an account.

Similar names
Trending