Indiana
Professional Licensing Agency
Max Ewart Blue, Jr.
Controlled Substance Registration - Physician
License number
01019726B
Date granted
09/30/1986
Date expires
06/30/1995
Class
Controlled Substance Registration - Physician
Status
Expired
Address
39 WEST JACKSON STREET, MARTINSVILLE IN 46151
indianalicensing.org
ID 5889250
LAST UPDATED 2026-06-01 03:06:38 UTC
LAST UPDATED 2026-06-01 03:06:38 UTC
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