Indiana
Professional Licensing Agency
Bruce Henry Axelrod
Controlled Substance Registration - Physician
License number
01046052B
Date granted
01/24/1997
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Intensive Treatment Program - Indiana, Ltd., 12501 North State Road 49, Wheatfield IN 46392
indianalicensing.org
ID 5935160
LAST UPDATED 2024-04-10 09:37:54 UTC
LAST UPDATED 2024-04-10 09:37:54 UTC
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