Indiana
Professional Licensing Agency
James William Blackburn
Controlled Substance Registration - Dentist
License number
12010139B
Date granted
04/09/2002
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Evansville Endodontics, 1449 Kimber Lane, Suite 103A, Evansville IN 47715-4067
indianalicensing.org
ID 5092074
LAST UPDATED 2024-02-21 02:01:57 UTC
LAST UPDATED 2024-02-21 02:01:57 UTC
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