Indiana
Professional Licensing Agency
JEFFREY LLOYD BLICKENSTAFF
Controlled Substance Registration - Physician
License number
01030350B
Date granted
09/15/1980
Date expires
06/30/1983
Class
Controlled Substance Registration - Physician
Status
Expired
Address
2300 WEST GILBERT STREE, MUNCIE IN 47303
indianalicensing.org
ID 5898497
LAST UPDATED 2024-04-30 14:38:08 UTC
LAST UPDATED 2024-04-30 14:38:08 UTC
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