Indiana
Professional Licensing Agency
THOMAS LEE BLAKE
Controlled Substance Registration - Dentist
License number
12005289B
Date granted
04/30/1986
Date expires
03/01/1994
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
1806 W MCGALLIARD ROAD, MUNCIE IN 47304
indianalicensing.org
ID 5114392
LAST UPDATED 2024-01-20 13:42:10 UTC
LAST UPDATED 2024-01-20 13:42:10 UTC
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