Indiana
Professional Licensing Agency
Janelle Ruth Blickensderfer
Controlled Substance Registration-Osteopathic Physician
License number
02001307B
Date granted
02/27/1992
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
Houser-Norborg-MacGregor Medical Corp., 515 N. Lafayette Blvd, South Bend IN 46601
indianalicensing.org
ID 5813385
LAST UPDATED 2024-04-04 20:54:09 UTC
LAST UPDATED 2024-04-04 20:54:09 UTC
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