Indiana
Professional Licensing Agency
Jack Dean Bland
Controlled Substance Registration - Physician
License number
01019384B
Date granted
06/15/1994
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
WARRICK HOSPITAL, 1116 MILLS AVE, BOONVILLE IN 47601
indianalicensing.org
ID 5827300
LAST UPDATED 2024-02-23 22:25:22 UTC
LAST UPDATED 2024-02-23 22:25:22 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.