License holder summary

Elizabeth Ann Blachly is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Elizabeth Ann Blachly is 7375 WEST U S HIGHWAY 52, NEW PALESTINE IN 46163. This licensed professional license is current. The license was granted 07/16/1997 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Elizabeth Ann Blachly
Controlled Substance Registration - Physician
License number
01046880B
Date granted
07/16/1997
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
7375 WEST U S HIGHWAY 52, NEW PALESTINE IN 46163
indianalicensing.org
ID 5904977
LAST UPDATED 2024-03-01 05:10:19 UTC

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