License holder summary

Alan Jay Pawlow is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Alan Jay Pawlow is ADAM BENJAMIN JR V A OUT PATIENT CLINIC, 9330 SOUTH BROADWAY, CROWN POINT IN 46307. This licensed professional license is not current. The license was granted 12/06/1989 and expired on 06/30/1991.

Indiana

Professional Licensing Agency

Alan Jay Pawlow
Controlled Substance Registration - Physician
License number
01037630B
Date granted
12/06/1989
Date expires
06/30/1991
Class
Controlled Substance Registration - Physician
Status
Expired
Address
ADAM BENJAMIN JR V A OUT PATIENT CLINIC, 9330 SOUTH BROADWAY, CROWN POINT IN 46307
indianalicensing.org
ID 5840714
LAST UPDATED 2024-04-18 10:20:19 UTC

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