Indiana
Professional Licensing Agency
Edward S. Gordon
Controlled Substance Registration - Physician
License number
01050060B
Date granted
05/24/1999
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
7338 Calumet Avenue, Suite 560, Hammond IN 46324
indianalicensing.org
ID 5863837
LAST UPDATED 2024-03-05 16:47:07 UTC
LAST UPDATED 2024-03-05 16:47:07 UTC
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