License holder summary

JOHN WILLIAM BLOXDORF is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for JOHN WILLIAM BLOXDORF is 1505 N. SEVENTH ST., TERRE HAUTE, INDIANA IN 47808. This licensed professional license is not current. The license was granted 04/30/1983 and expired on 04/30/1983.

Indiana

Professional Licensing Agency

JOHN WILLIAM BLOXDORF
Controlled Substance Registration - Physician
License number
01021795B
Date granted
04/30/1983
Date expires
04/30/1983
Class
Controlled Substance Registration - Physician
Status
Expired
Address
1505 N. SEVENTH ST., TERRE HAUTE, INDIANA IN 47808
indianalicensing.org
ID 5925680
LAST UPDATED 2024-02-23 06:30:13 UTC

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