Indiana
Professional Licensing Agency
MABEL AMSTUTZ BLUNK
Controlled Substance Registration - Physician
License number
01028082B
Date granted
03/31/1986
Date expires
06/30/2007
Class
Controlled Substance Registration - Physician
Status
Expired
Address
1627 E BRISTOL STREET, ELKHART IN 46514
indianalicensing.org
ID 5847822
LAST UPDATED 2024-01-11 20:11:39 UTC
LAST UPDATED 2024-01-11 20:11:39 UTC
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