License holder summary

Douglas Kent Blacklidge is a Controlled Substance Registration - Podiatrist licensed to practice in Indiana. The address on file for Douglas Kent Blacklidge is American Health Network of Indiana, LLC, 2330 SOUTH DIXON ROAD, KOKOMO IN 46902. This licensed professional license is current. The license was granted 04/12/1995 and expired on 06/30/2015.

Indiana

Professional Licensing Agency

Douglas Kent Blacklidge
Controlled Substance Registration - Podiatrist
License number
07000798B
Date granted
04/12/1995
Date expires
06/30/2015
Class
Controlled Substance Registration - Podiatrist
Status
Active
Address
American Health Network of Indiana, LLC, 2330 SOUTH DIXON ROAD, KOKOMO IN 46902
indianalicensing.org
ID 8431071
LAST UPDATED 2024-04-14 15:18:24 UTC

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