License holder summary

Neil Mark Blumenthal is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Neil Mark Blumenthal is 40 W 73RD AVENUE, MERRILLVILLE IN 46410. This licensed professional license is not current. The license was granted 11/25/1986 and expired on 03/01/2004.

Indiana

Professional Licensing Agency

Neil Mark Blumenthal
Controlled Substance Registration - Dentist
License number
12008867B
Date granted
11/25/1986
Date expires
03/01/2004
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
40 W 73RD AVENUE, MERRILLVILLE IN 46410
indianalicensing.org
ID 5111267
LAST UPDATED 2024-03-16 13:10:08 UTC

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