Indiana
Professional Licensing Agency
Bradley W Erickson
Controlled Substance Registration - Physician
License number
01059864B
Date granted
10/14/2004
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
1115 N. Ronald Regan Pkwy, Suite 206, Avon IN 46123
indianalicensing.org
ID 5819944
LAST UPDATED 2024-01-12 12:13:19 UTC
LAST UPDATED 2024-01-12 12:13:19 UTC
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