Indiana
Professional Licensing Agency
MAXIMO T BLEZA
Controlled Substance Registration - Physician
License number
01022679B
Date granted
04/30/1986
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
THE HAMMOND CLINIC, 7905 CALUMET AVE, MUNSTER IN 46321
indianalicensing.org
ID 5900999
LAST UPDATED 2024-02-27 21:11:07 UTC
LAST UPDATED 2024-02-27 21:11:07 UTC
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