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
LAST UPDATED 2024-03-13 11:10:01 UTC
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