Indiana
Professional Licensing Agency
ANDREW ESCHER RUSSO
Controlled Substance Registration - Physician
License number
01017769B
Date granted
08/31/1983
Date expires
08/31/1984
Class
Controlled Substance Registration - Physician
Status
Expired
Address
12110 GRANT ST., CROWN POINT IN 46307
indianalicensing.org
ID 5840727
LAST UPDATED 2024-04-05 01:08:35 UTC
LAST UPDATED 2024-04-05 01:08:35 UTC
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