Jonathan E. Blake
Controlled Substance Registration-Osteopathic Physician
Indiana 02004203B Active
This Indiana license is held by Jonathan E. Blake. The license is currently active. It was granted on 04/26/2013 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 02004203B
- Category: CSR-Osteopathic Physician
- Status: Active
- Date Granted: 04/26/2013 (about 12 years ago)
- Expiry Date: 10/31/2015 (over 9 years ago)
LOCATIONS
A Address
5255 E. Stop 11 Road, Suite 300, Indianapolis IN 46237
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