MAXIMO T BLEZA
Controlled Substance Registration - Physician
Indiana 01022679B Expired
This Indiana license was held by MAXIMO T BLEZA. The license is no longer active. It was granted on 04/30/1986 and expired on 06/30/2001
LICENSE DETAILS
- License Number: 01022679B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 04/30/1986 (about 39 years ago)
- Expiry Date: 06/30/2001 (almost 24 years ago)
LOCATIONS
A Address
THE HAMMOND CLINIC, 7905 CALUMET AVE, MUNSTER IN 46321