Indiana
Professional Licensing Agency
Olga Pavlovna Blakley
Controlled Substance Registration - Physician
License number
01061404B
Date granted
10/09/2007
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Wabash County Hospital, 710 North East St., Wabash IN 46992
indianalicensing.org
ID 5931934
LAST UPDATED 2024-03-16 01:40:58 UTC
LAST UPDATED 2024-03-16 01:40:58 UTC
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