Indiana
Professional Licensing Agency
Allen Waples Dunn
Controlled Substance Registration - Physician
License number
01030522B
Date granted
01/31/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
BLOOMINGTON HOSPITAL, 605-625 WEST SECOND STREET, BLOOMINGTON IN 47402
indianalicensing.org
ID 5823738
LAST UPDATED 2024-03-13 10:28:07 UTC
LAST UPDATED 2024-03-13 10:28:07 UTC
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