Indiana
Professional Licensing Agency
Laura M. Blackwicks
Controlled Substance Registration-Osteopathic Physician
License number
02001649B
Date granted
07/01/1995
Date expires
06/30/2005
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
1145 INDIANAPOLIS ROAD, GREENCASTLE IN 46135
indianalicensing.org
ID 5801844
LAST UPDATED 2026-05-24 22:06:14 UTC
LAST UPDATED 2026-05-24 22:06:14 UTC
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