Indiana
Professional Licensing Agency
Josef Blankstein
Controlled Substance Registration - Physician
License number
01064008B
Date granted
06/27/2007
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
155 W. 86th Avenue, Suite D, Merrillville IN 46410
indianalicensing.org
ID 11956331
LAST UPDATED 2024-04-04 01:04:33 UTC
LAST UPDATED 2024-04-04 01:04:33 UTC
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