License holder summary

Robert Charles Blackmon, IV is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Robert Charles Blackmon, IV is Heart City Health Center, 236 Simpson Avenue, Elkhart IN 46516. This licensed professional license is current. The license was granted 01/22/2013 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Robert Charles Blackmon, IV
Controlled Substance Registration - Physician
License number
01072006B
Date granted
01/22/2013
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Heart City Health Center, 236 Simpson Avenue, Elkhart IN 46516
indianalicensing.org
ID 5848239
LAST UPDATED 2024-03-13 11:10:01 UTC

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