Indiana
Professional Licensing Agency
JOHN H BLACK
Controlled Substance Registration - Physician
License number
01028546B
Date granted
06/16/1989
Date expires
06/30/2007
Class
Controlled Substance Registration - Physician
Status
Expired
Address
1513 N. 6 1/2 Street, Terre Haute IN 47807
indianalicensing.org
ID 5925629
LAST UPDATED 2024-03-14 00:32:54 UTC
LAST UPDATED 2024-03-14 00:32:54 UTC
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