License holder summary

Russell Blair is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Russell Blair is R R #1 BOX 17A, ANGOLA IN 46703. This licensed professional license is not current. The license was granted 04/30/1980 and expired on 04/30/1984.

Indiana

Professional Licensing Agency

Russell Blair
Controlled Substance Registration - Dentist
License number
12006812B
Date granted
04/30/1980
Date expires
04/30/1984
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
R R #1 BOX 17A, ANGOLA IN 46703
indianalicensing.org
ID 5081234
LAST UPDATED 2024-02-25 04:50:34 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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