Indiana
Professional Licensing Agency
John Edward Blomstedt III
Controlled Substance Registration-Osteopathic Physician
License number
02003162B
Date granted
02/01/2007
Date expires
06/30/2011
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
Family Medicine Center, 837 E. Cedar St., Suite 100, South Bend IN 46617
indianalicensing.org
ID 5813401
LAST UPDATED 2024-03-30 05:02:53 UTC
LAST UPDATED 2024-03-30 05:02:53 UTC
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