Indiana
Professional Licensing Agency
BRADLEY RICHARD HENNENFENT
Controlled Substance Registration - Physician
License number
01039367B
Date granted
08/23/1991
Date expires
06/30/1993
Class
Controlled Substance Registration - Physician
Status
Expired
Address
MICHIGAN CITY MEMORIAL HOSPITAL, 5 TH & PINE STREETS, MICHIGAN CITY IN 46360
indianalicensing.org
ID 5892279
LAST UPDATED 2024-03-08 13:26:41 UTC
LAST UPDATED 2024-03-08 13:26:41 UTC
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