License holder summary

John G Blazic is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for John G Blazic is 1655 HAWTHORNE DRIVE, PLAINFIELD IN 46168. This licensed professional license is current. The license was granted 07/31/1986 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

John G Blazic
Controlled Substance Registration - Dentist
License number
12007322B
Date granted
07/31/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
1655 HAWTHORNE DRIVE, PLAINFIELD IN 46168
indianalicensing.org
ID 5118698
LAST UPDATED 2024-03-01 07:01:34 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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