License holder summary

FRED MAYOR BLIX, JR is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for FRED MAYOR BLIX, JR is 775 EAGLE CREEK COURT, ZIONSVILLE IN 46077-2003. This licensed professional license is not current. The license was granted 04/30/1985 and expired on 06/30/2009.

Indiana

Professional Licensing Agency

FRED MAYOR BLIX, JR
Controlled Substance Registration - Physician
License number
01015379B
Date granted
04/30/1985
Date expires
06/30/2009
Class
Controlled Substance Registration - Physician
Status
Expired
Address
775 EAGLE CREEK COURT, ZIONSVILLE IN 46077-2003
indianalicensing.org
ID 5936758
LAST UPDATED 2024-05-05 06:50:39 UTC

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