RANDAL DONS BLADEL
Controlled Substance Registration - Physician
Indiana 01035304B Expired
This Indiana license was held by RANDAL DONS BLADEL. The license is no longer active. It was granted on 09/03/1986 and expired on 06/30/1989
LICENSE DETAILS
- License Number: 01035304B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 09/03/1986 (almost 39 years ago)
- Expiry Date: 06/30/1989 (almost 36 years ago)
LOCATIONS
A Address
707 N MICHIGAN AVENUE, SOUTH BEND IN 46601