Indiana
Professional Licensing Agency
BRUCE LARRY LARVA
Controlled Substance Registration - Physician
License number
01040252B
Date granted
05/28/1992
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
ST ANTHONY HOSP, 301 W HOMER STREET, MICHIGAN CITY IN 46360
indianalicensing.org
ID 5892287
LAST UPDATED 2024-05-14 04:15:56 UTC
LAST UPDATED 2024-05-14 04:15:56 UTC
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