Indiana
Professional Licensing Agency
LEWIS ANSON EDGEWORTH
Controlled Substance Registration - Physician
License number
01035543B
Date granted
09/25/1986
Date expires
06/30/1989
Class
Controlled Substance Registration - Physician
Status
Expired
Address
P O BOX 872, 306 EAST VISTULA, BRISTOL IN 46507
indianalicensing.org
ID 5827964
LAST UPDATED 2024-04-28 08:06:09 UTC
LAST UPDATED 2024-04-28 08:06:09 UTC
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