Indiana
Professional Licensing Agency
Bryan Glenn Cunningham
Controlled Substance Registration - Physician
License number
01036025B
Date granted
07/16/1987
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
LAPORTE HOSPITAL, 1007 LINCOLNWAY P O BOX 250, La Porte IN 46352
indianalicensing.org
ID 5877679
LAST UPDATED 2024-04-27 21:18:59 UTC
LAST UPDATED 2024-04-27 21:18:59 UTC
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