Indiana
Professional Licensing Agency
William F. Blaisdell
Controlled Substance Registration - Physician
License number
01020748B
Date granted
04/30/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
1124 MEDICAL PLACE, SEYMOUR IN 47274
indianalicensing.org
ID 5919025
LAST UPDATED 2024-03-27 00:32:05 UTC
LAST UPDATED 2024-03-27 00:32:05 UTC
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