License holder summary

Jacob Blum is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Jacob Blum is ALLIANT IMMEDIATE CARE CENTER, 610 EASTERN BLVD, JEFFERSONVILLE IN 47130. This licensed professional license is not current. The license was granted 10/28/1992 and expired on 06/30/2001.

Indiana

Professional Licensing Agency

Jacob Blum
Controlled Substance Registration - Physician
License number
01040549B
Date granted
10/28/1992
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
ALLIANT IMMEDIATE CARE CENTER, 610 EASTERN BLVD, JEFFERSONVILLE IN 47130
indianalicensing.org
ID 5873020
LAST UPDATED 2024-02-23 11:19:17 UTC

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