License holder summary

FREDERICK W BLANCKE is a Physician licensed to practice in Indiana. The address on file for FREDERICK W BLANCKE is MADISON WI 53704. This licensed professional license is not current. The license was granted 09/11/1958 and expired on 06/30/1997.

Indiana

Professional Licensing Agency

FREDERICK W BLANCKE
Physician
License number
01018455A
Date granted
09/11/1958
Date expires
06/30/1997
Class
Physician
Status
Expired Non-Renewable
Address
MADISON WI 53704
indianalicensing.org
ID 6073477
LAST UPDATED 2024-03-11 09:10:03 UTC

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