License holder summary

David Thomas Blank is a Controlled Substance Registration-Osteopathic Physician licensed to practice in Indiana. The address on file for David Thomas Blank is Emergency Physicians of Indpls, PC, 8111 S Emerson Avenue, Indianapolis IN 46237. This licensed professional license is current. The license was granted 05/09/1996 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

David Thomas Blank
Controlled Substance Registration-Osteopathic Physician
License number
02001351B
Date granted
05/09/1996
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
Emergency Physicians of Indpls, PC, 8111 S Emerson Avenue, Indianapolis IN 46237
indianalicensing.org
ID 5804277
LAST UPDATED 2024-05-03 17:14:39 UTC

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