License holder summary

RANDAL D BLADEL M D P C is a Medical Licensing Board - Medical Corporation licensed to practice in Indiana. The address on file for RANDAL D BLADEL M D P C is 605 PORTAGE AVENUE, SOUTH BEND IN 46616. This licensed professional license is not current. The license was granted 12/30/1994 and expired on 01/31/1998.

Indiana

Professional Licensing Agency

RANDAL D BLADEL M D P C
Medical Licensing Board - Medical Corporation
License number
50003692A
Date granted
12/30/1994
Date expires
01/31/1998
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
605 PORTAGE AVENUE, SOUTH BEND IN 46616
indianalicensing.org
ID 24834186
LAST UPDATED 2024-02-20 15:29:11 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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