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
LAST UPDATED 2024-02-24 23:34:18 UTC
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