License holder summary

THOMAS R BLUTHARDT is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for THOMAS R BLUTHARDT is 3717 MAPLECREST ROAD, FORT WAYNE IN 46815. This licensed professional license is not current. The license was granted 01/31/1986 and expired on 06/30/1987.

Indiana

Professional Licensing Agency

THOMAS R BLUTHARDT
Controlled Substance Registration - Physician
License number
01033073B
Date granted
01/31/1986
Date expires
06/30/1987
Class
Controlled Substance Registration - Physician
Status
Expired
Address
3717 MAPLECREST ROAD, FORT WAYNE IN 46815
indianalicensing.org
ID 5854649
LAST UPDATED 2024-05-08 21:51:45 UTC

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