Indiana
Professional Licensing Agency
John Paul Blakely
Controlled Substance Registration-Osteopathic Physician
License number
02003031B
Date granted
05/28/2008
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
Monroe Hospital, 4011 S. Monroe Medical Park Blvd., Bloomington IN 47403
indianalicensing.org
ID 5795460
LAST UPDATED 2024-04-15 22:42:34 UTC
LAST UPDATED 2024-04-15 22:42:34 UTC
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