Indiana
Professional Licensing Agency
Larry Edward Cummins
Controlled Substance Registration - Physician
License number
01020590B
Date granted
11/08/1999
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Expired
Address
3600 NORTH PROW RD, BLOOMINGTON IN 47408
indianalicensing.org
ID 5825047
LAST UPDATED 2024-02-29 18:32:06 UTC
LAST UPDATED 2024-02-29 18:32:06 UTC
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