David Thomas Blank
Controlled Substance Registration-Osteopathic Physician
Indiana 02001351C Expired
This Indiana license was held by David Thomas Blank. The license is no longer active. It was granted on 07/30/1992 and expired on 06/30/1993
LICENSE DETAILS
- License Number: 02001351C
- Category: CSR-Osteopathic Physician
- Status: Expired
- Date Granted: 07/30/1992 (over 32 years ago)
- Expiry Date: 06/30/1993 (almost 32 years ago)
LOCATIONS
A Address
INDIANA EMERGENCY SERVICES, 229 WEST NORTH SHORE DRIVE, SOUTH BEND IN 46617