License holder summary

MICHELLE BLAKE is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for MICHELLE BLAKE is 6277 S Fox Chase, Pendleton IN 46064. This licensed professional license is not current. The license was granted 03/31/1985 and expired on 06/30/2003.

Indiana

Professional Licensing Agency

MICHELLE BLAKE
Controlled Substance Registration - Physician
License number
01032365B
Date granted
03/31/1985
Date expires
06/30/2003
Class
Controlled Substance Registration - Physician
Status
Expired
Address
6277 S Fox Chase, Pendleton IN 46064
indianalicensing.org
ID 5909330
LAST UPDATED 2024-02-28 06:34:15 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

Reviews

Are you familiar with MICHELLE BLAKE's work? Add a comment below. You can write anonymously and without having to create an account.

Similar names
Trending