Indiana
Professional Licensing Agency
Karen Lynne Kaye Bloom
Controlled Substance Registration - Physician
License number
01037987B
Date granted
05/22/1990
Date expires
06/30/2011
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Southeren Indiana Rehabilitation Hospital, 3104 Blackiston Blvd., New Albany IN 47150
indianalicensing.org
ID 5903058
LAST UPDATED 2024-02-03 20:03:15 UTC
LAST UPDATED 2024-02-03 20:03:15 UTC
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