Indiana
Professional Licensing Agency
Leonard Judson Green
Controlled Substance Registration - Physician
License number
01015235B
Date granted
12/01/1983
Date expires
06/30/2003
Class
Controlled Substance Registration - Physician
Status
Expired
Address
3728 CHIMNEY HILL DRIVE, VALPARAISO IN 46383
indianalicensing.org
ID 5929070
LAST UPDATED 2024-03-04 08:50:04 UTC
LAST UPDATED 2024-03-04 08:50:04 UTC
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