License holder summary

Jerry E Blythe is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Jerry E Blythe is 8045 Broadway, Indianapolis IN 46240. This licensed professional license is current. The license was granted 04/30/1986 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Jerry E Blythe
Controlled Substance Registration - Physician
License number
01024432B
Date granted
04/30/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
8045 Broadway, Indianapolis IN 46240
indianalicensing.org
ID 5869834
LAST UPDATED 2024-02-03 10:12:21 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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