Indiana
Professional Licensing Agency
Brian Hart Foresman
Controlled Substance Registration-Osteopathic Physician
License number
02001628B
Date granted
06/15/1995
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
Roudebush VA Hospital- Attn: Shelley Hall, 1481 W 10th Street, RM C6022, Indianapolis IN 46202
indianalicensing.org
ID 5803918
LAST UPDATED 2024-04-24 13:10:01 UTC
LAST UPDATED 2024-04-24 13:10:01 UTC
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