Indiana
Professional Licensing Agency
JEFF BLAINE ATWOOD
Controlled Substance Registration - Physician
License number
01036876B
Date granted
07/01/1988
Date expires
06/30/1991
Class
Controlled Substance Registration - Physician
Status
Expired
Address
ST JOSEPH MEDICAL CENTER, 811 E MADISON PO BOX 1935, SOUTH BEND IN 46634
indianalicensing.org
ID 5921239
LAST UPDATED 2024-04-10 05:41:20 UTC
LAST UPDATED 2024-04-10 05:41:20 UTC
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