Indiana
Professional Licensing Agency
Kelly Marie Blankenship
Controlled Substance Registration-Osteopathic Physician
License number
02003487B
Date granted
05/07/2009
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
Christian Sakrine Autism Treatment Ctr., 702 Barnhill Dr., Suite 4300, Indianapolis IN 46202
indianalicensing.org
ID 5804904
LAST UPDATED 2024-05-06 08:24:45 UTC
LAST UPDATED 2024-05-06 08:24:45 UTC
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