Indiana
Professional Licensing Agency
Bruce Douglas Mallatt
Controlled Substance Registration - Physician
License number
01027539B
Date granted
05/31/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
700 Willow Street, Ste 203, Vincennes IN 47591
indianalicensing.org
ID 5930533
LAST UPDATED 2024-05-12 02:27:12 UTC
LAST UPDATED 2024-05-12 02:27:12 UTC
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