Indiana
Professional Licensing Agency
Jeffrey P. Blair
Controlled Substance Registration - Dentist
License number
12007546B
Date granted
03/31/1983
Date expires
03/31/1983
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
820 JEFFERSON AVENUE, LAPORTE IN 46350
indianalicensing.org
ID 5107129
LAST UPDATED 2026-03-24 12:04:02 UTC
LAST UPDATED 2026-03-24 12:04:02 UTC
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