Leslie Blaire Parent

Controlled Substance Registration - Physician

Indiana  01068521B   Active

This Indiana license is held by Leslie Blaire Parent. The license is currently active. It was granted on 07/19/2010 and expired on 10/31/2015

LICENSE DETAILS

  • License Number: 01068521B
  • Category: CSR-Physician
  • Status: Active
  • Date Granted: 07/19/2010 (almost 16 years ago)
  • Expiry Date: 10/31/2015 (over 10 years ago)

LOCATIONS

A Address

CPI: County Line Medical Pavillion, 333 E County Line Road, Greenwood IN 46143