Indiana
Professional Licensing Agency
Lily Blascoa-Ritterbeck
Controlled Substance Registration - Physician
License number
01066350B
Date granted
03/11/2009
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Meridian Services, 16 SW 5th Street, Richmond IN 47374
indianalicensing.org
ID 5913665
LAST UPDATED 2024-04-04 16:41:03 UTC
LAST UPDATED 2024-04-04 16:41:03 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.