Indiana
Professional Licensing Agency
Simon J. Trueblood
Controlled Substance Registration - Physician
License number
01027583B
Date granted
07/31/1985
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Revoked
Address
6111 HARRISON STREET SUITE 222, Merrillville IN 46410
indianalicensing.org
ID 5891662
LAST UPDATED 2024-02-25 15:26:09 UTC
LAST UPDATED 2024-02-25 15:26:09 UTC
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