ANTHONY S BLAZYS
Controlled Substance Registration - Physician
Indiana 01038942B Expired
This Indiana license was held by ANTHONY S BLAZYS. The license is no longer active. It was granted on 08/23/1991 and expired on 06/30/1993
LICENSE DETAILS
- License Number: 01038942B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 08/23/1991 (almost 35 years ago)
- Expiry Date: 06/30/1993 (almost 33 years ago)
LOCATIONS
A Address
ST JOSEPH'S MEDICAL CENTER, 801 E LASALLE, SOUTH BEND IN 46634