License holder summary

Terrance L. Blackford is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Terrance L. Blackford is Louisville Urology, 1263 Hospital Dr., NW, Suite 100, Corydon IN 47112. This licensed professional license is not current. The license was granted 03/29/2010 and expired on 06/30/2011.

Indiana

Professional Licensing Agency

Terrance L. Blackford
Controlled Substance Registration - Physician
License number
01067998B
Date granted
03/29/2010
Date expires
06/30/2011
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Louisville Urology, 1263 Hospital Dr., NW, Suite 100, Corydon IN 47112
indianalicensing.org
ID 5839199
LAST UPDATED 2024-04-22 02:01:48 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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