John Edward Blomstedt III
Controlled Substance Registration-Osteopathic Physician
Indiana 02003162B Expired
This Indiana license was held by John Edward Blomstedt III. The license is no longer active. It was granted on 02/01/2007 and expired on 06/30/2011
LICENSE DETAILS
- License Number: 02003162B
- Category: CSR-Osteopathic Physician
- Status: Expired
- Date Granted: 02/01/2007 (over 18 years ago)
- Expiry Date: 06/30/2011 (almost 14 years ago)
LOCATIONS
A Address
Family Medicine Center, 837 E. Cedar St., Suite 100, South Bend IN 46617