Indiana
Professional Licensing Agency
Dwight Leroy Blackburn
Controlled Substance Registration - Physician
License number
01049205B
Date granted
07/27/1998
Date expires
06/30/2009
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Southern Indiana Treatment Center, 7509 Charlestown Pike, Charlestown IN 47111
indianalicensing.org
ID 5832947
LAST UPDATED 2024-04-27 10:36:58 UTC
LAST UPDATED 2024-04-27 10:36:58 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.