License holder summary

Miranda E. Blevins is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Miranda E. Blevins is Deaconess Clinic-GWPB, 4015 Gateway Boulevard, Suite 3000, Newburgh IN 47630. This licensed professional license is current. The license was granted 04/03/2013 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Miranda E. Blevins
Controlled Substance Registration - Physician
License number
01072349B
Date granted
04/03/2013
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Deaconess Clinic-GWPB, 4015 Gateway Boulevard, Suite 3000, Newburgh IN 47630
indianalicensing.org
ID 5906054
LAST UPDATED 2024-04-11 23:52:19 UTC

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

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