Indiana
Professional Licensing Agency
Alan Russ Gilbert
Controlled Substance Registration - Physician
License number
01021154B
Date granted
12/31/1975
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
10620 Corporate Drive, Suite A, Fort Wayne IN 46845
indianalicensing.org
ID 5852901
LAST UPDATED 2024-04-22 17:45:23 UTC
LAST UPDATED 2024-04-22 17:45:23 UTC
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