License holder summary

Thomas J. Blastick is a Controlled Substance Registration-Physician Assistant licensed to practice in Indiana. The address on file for Thomas J. Blastick is St. Vincent Heart Center of IN, 10590 N. Meridian, Suite 105, Indianapolis IN 46290. This licensed professional license is current. The license was granted 10/01/2007 and expired on 06/30/2016.

Indiana

Professional Licensing Agency

Thomas J. Blastick
Controlled Substance Registration-Physician Assistant
License number
10000823B
Date granted
10/01/2007
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
St. Vincent Heart Center of IN, 10590 N. Meridian, Suite 105, Indianapolis IN 46290
indianalicensing.org
ID 8387495
LAST UPDATED 2024-05-03 10:11:04 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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