Indiana
Professional Licensing Agency
Patrick W. Russell
Controlled Substance Registration-Osteopathic Physician
License number
02001219B
Date granted
05/22/1991
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
Elkhart Neurology, P.C., 2746 Old U.S. 20 West Ste A, Elkhart IN 46514
indianalicensing.org
ID 5799291
LAST UPDATED 2024-05-05 11:51:22 UTC
LAST UPDATED 2024-05-05 11:51:22 UTC
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