Indiana
Professional Licensing Agency
Brian H. Black
Controlled Substance Registration-Osteopathic Physician
License number
02002904B
Date granted
04/01/2005
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
Acute Medical Care, 1145 Indianapolis Road, Greencastle IN 46135
indianalicensing.org
ID 5801805
LAST UPDATED 2024-04-25 21:26:57 UTC
LAST UPDATED 2024-04-25 21:26:57 UTC
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