Indiana
Professional Licensing Agency
Peter John Blank
Controlled Substance Registration - Dentist
License number
12009167B
Date granted
07/02/1992
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
192 PROFESSIONAL COURT, HEBRON IN 46341
indianalicensing.org
ID 5100413
LAST UPDATED 2024-03-06 06:30:56 UTC
LAST UPDATED 2024-03-06 06:30:56 UTC
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