Indiana
Professional Licensing Agency
Crist A. Blassaras
Controlled Substance Registration - Physician
License number
01014929B
Date granted
10/26/1987
Date expires
06/30/1991
Class
Controlled Substance Registration - Physician
Status
Expired
Address
916 DRESSER DRIVE, ANDERSON IN 46012
indianalicensing.org
ID 5816871
LAST UPDATED 2024-02-15 13:47:26 UTC
LAST UPDATED 2024-02-15 13:47:26 UTC
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