Indiana
Professional Licensing Agency
Bruce Marvin Hansen
Controlled Substance Registration-Osteopathic Physician
License number
02003137B
Date granted
01/04/2007
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
600 Port Drive, Avon IN 46123
indianalicensing.org
ID 5794981
LAST UPDATED 2026-03-17 03:18:03 UTC
LAST UPDATED 2026-03-17 03:18:03 UTC
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