License holder summary

Scott Alan Blickensderfer is a Controlled Substance Registration-Osteopathic Physician licensed to practice in Indiana. The address on file for Scott Alan Blickensderfer is 6301 University Commons, Ste 350, South Bend IN 46635. This licensed professional license is current. The license was granted 06/10/1993 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Scott Alan Blickensderfer
Controlled Substance Registration-Osteopathic Physician
License number
02001398B
Date granted
06/10/1993
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
6301 University Commons, Ste 350, South Bend IN 46635
indianalicensing.org
ID 5813687
LAST UPDATED 2024-04-02 17:45:51 UTC

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