License holder summary

Jeffrey Morton Blake is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Jeffrey Morton Blake is 141 WEST 22ND ST SUITE 309, ANDERSON IN 46016. This licensed professional license is current. The license was granted 06/25/1992 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Jeffrey Morton Blake
Controlled Substance Registration - Physician
License number
01040057B
Date granted
06/25/1992
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
141 WEST 22ND ST SUITE 309, ANDERSON IN 46016
indianalicensing.org
ID 5817408
LAST UPDATED 2024-03-09 04:07:02 UTC

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