Jacob Blum
Controlled Substance Registration - Physician
Indiana 01040549B Expired
This Indiana license was held by Jacob Blum. The license is no longer active. It was granted on 10/28/1992 and expired on 06/30/2001
LICENSE DETAILS
- License Number: 01040549B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 10/28/1992 (over 32 years ago)
- Expiry Date: 06/30/2001 (almost 24 years ago)
LOCATIONS
A Address
ALLIANT IMMEDIATE CARE CENTER, 610 EASTERN BLVD, JEFFERSONVILLE IN 47130