License holder summary

Scott D Blackwell is a Controlled Substance Registration-Osteopathic Physician licensed to practice in Indiana. The address on file for Scott D Blackwell is 4707 Salem Noble Road, Charlestown IN 47111. This licensed professional license is current. The license was granted 05/11/2007 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Scott D Blackwell
Controlled Substance Registration-Osteopathic Physician
License number
02002717B
Date granted
05/11/2007
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
4707 Salem Noble Road, Charlestown IN 47111
indianalicensing.org
ID 5796605
LAST UPDATED 2024-03-29 04:41:31 UTC

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