Indiana
Professional Licensing Agency
Gina Marie Blocker
Controlled Substance Registration-Osteopathic Physician
License number
02003958B
Date granted
07/09/2013
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
6333 South East Street, Indianapolis IN 46227
indianalicensing.org
ID 5804509
LAST UPDATED 2024-03-05 00:40:02 UTC
LAST UPDATED 2024-03-05 00:40:02 UTC
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