Indiana
Professional Licensing Agency
S E ENGLARD FALCONER
Controlled Substance Registration - Physician
License number
01032886B
Date granted
08/18/1983
Date expires
09/30/1984
Class
Controlled Substance Registration - Physician
Status
Expired
Address
601 BROADWAY, MADISON IN 47250
indianalicensing.org
ID 5887332
LAST UPDATED 2024-04-26 00:57:01 UTC
LAST UPDATED 2024-04-26 00:57:01 UTC
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