Elliot Jay Blumenthal
Controlled Substance Registration - Physician
Indiana 01025560B Expired Non-Renewable
This Indiana license was held by Elliot Jay Blumenthal. The license is no longer active. It was granted on 07/31/1986 and expired on 10/31/2013
LICENSE DETAILS
- License Number: 01025560B
- Category: CSR-Physician
- Status: Expired Non-Renewable
- Date Granted: 07/31/1986 (almost 40 years ago)
- Expiry Date: 10/31/2013 (over 12 years ago)
LOCATIONS
A Address
3120 Caroline Street, South Bend IN 46614