Indiana
Professional Licensing Agency
Lisa Ann Bledsoe
Controlled Substance Registration - Physician
License number
01043614B
Date granted
03/22/1996
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
865 WESTFIELD ROAD, NOBLESVILLE IN 46060
indianalicensing.org
ID 5907096
LAST UPDATED 2024-03-11 10:44:01 UTC
LAST UPDATED 2024-03-11 10:44:01 UTC
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