Indiana
Professional Licensing Agency
KRIS MARIE BLY
Controlled Substance Registration-Osteopathic Physician
License number
02001471B
Date granted
08/26/1993
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
PORTER MEMORIAL HOSPITAL, KAREN RETZLAFF 814 LAPORTE AVENUE, Valparaiso IN 46383
indianalicensing.org
ID 5814770
LAST UPDATED 2024-04-22 10:40:05 UTC
LAST UPDATED 2024-04-22 10:40:05 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.