THOMAS R BLUTHARDT
Controlled Substance Registration - Physician
Indiana 01033073B Expired
This Indiana license was held by THOMAS R BLUTHARDT. The license is no longer active. It was granted on 01/31/1986 and expired on 06/30/1987
LICENSE DETAILS
- License Number: 01033073B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 01/31/1986 (over 39 years ago)
- Expiry Date: 06/30/1987 (almost 38 years ago)
LOCATIONS
A Address
3717 MAPLECREST ROAD, FORT WAYNE IN 46815