License holder summary

Alan Martin Gardner is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Alan Martin Gardner is 2910 LAKE SHORE DRIVE L B, MICHIGAN CITY IN 46360. This licensed professional license is not current. The license was granted 01/06/1997 and expired on 06/30/2005.

Indiana

Professional Licensing Agency

Alan Martin Gardner
Controlled Substance Registration - Physician
License number
01034284B
Date granted
01/06/1997
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Expired
Address
2910 LAKE SHORE DRIVE L B, MICHIGAN CITY IN 46360
indianalicensing.org
ID 5892105
LAST UPDATED 2024-02-24 23:34:18 UTC

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