License holder summary

Alan Russell Koslow is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Alan Russell Koslow is 403 N. Walnut, Bloomington IN 47401. This licensed professional license is not current. The license was granted 10/13/1993 and expired on 06/30/1995.

Indiana

Professional Licensing Agency

Alan Russell Koslow
Controlled Substance Registration - Physician
License number
01041937B
Date granted
10/13/1993
Date expires
06/30/1995
Class
Controlled Substance Registration - Physician
Status
Expired
Address
403 N. Walnut, Bloomington IN 47401
indianalicensing.org
ID 5823687
LAST UPDATED 2024-02-10 10:35:26 UTC

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