Kenneth W. Blumenthal
Controlled Substance Registration-Osteopathic Physician
Indiana 02000639B Active
This Indiana license is held by Kenneth W. Blumenthal. The license is currently active. It was granted on 06/30/1986 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 02000639B
- Category: CSR-Osteopathic Physician
- Status: Active
- Date Granted: 06/30/1986 (almost 38 years ago)
- Expiry Date: 10/31/2015 (over 8 years ago)
LOCATIONS
A Address
Primary Care, P.C., 3125 Willowcreek Road, Portage IN 46368
Are you Kenneth W. Blumenthal? Show the world that you're licensed by displaying your personal badge.
Get Badge