Indiana
Professional Licensing Agency
Bradley Charles Black
Controlled Substance Registration - Physician
License number
01027732B
Date granted
07/31/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
302 W. 14TH STREET, JEFFERSONVILLE IN 47130
indianalicensing.org
ID 5872415
LAST UPDATED 2024-04-19 06:55:55 UTC
LAST UPDATED 2024-04-19 06:55:55 UTC
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