Alfonso A. Blum
Controlled Substance Registration - Physician
Indiana 01062815B Active
This Indiana license is held by Alfonso A. Blum. The license is currently active. It was granted on 07/24/2007 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 01062815B
- Category: CSR-Physician
- Status: Active
- Date Granted: 07/24/2007 (about 19 years ago)
- Expiry Date: 10/31/2015 (almost 11 years ago)
LOCATIONS
A Address
2001 Columbus Drive, East Chicago IN 46312-2829
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