ALICE E BLACK SCHAFFER
Controlled Substance Registration - Physician
Indiana 01022414B Expired
This Indiana license was held by ALICE E BLACK SCHAFFER. The license is no longer active. It was granted on 08/22/1968 and expired on 06/30/1997
LICENSE DETAILS
- License Number: 01022414B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 08/22/1968 (almost 58 years ago)
- Expiry Date: 06/30/1997 (about 29 years ago)
LOCATIONS
A Address
4510 BLACKSTONE COURT, BLOOMINGTON IN 47408