Indiana
Professional Licensing Agency
Brigham Robert Temple
Controlled Substance Registration - Physician
License number
01067499B
Date granted
11/13/2009
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Ansori Emergency Medicine, 6085 Heartland Drive, Zionsville IN 46077
indianalicensing.org
ID 5936659
LAST UPDATED 2024-03-25 19:31:54 UTC
LAST UPDATED 2024-03-25 19:31:54 UTC
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