Indiana
Professional Licensing Agency
R Daniel Grossman
Controlled Substance Registration - Physician
License number
01027063B
Date granted
06/30/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
INTEG HEALTH SYSTEM PC, 1011 WEST SECOND STREET, BLOOMINGTON IN 47403
indianalicensing.org
ID 5825517
LAST UPDATED 2024-03-05 11:54:42 UTC
LAST UPDATED 2024-03-05 11:54:42 UTC
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