License holder summary

Bryan Mansfield Denham is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Bryan Mansfield Denham is 1451 N Gardner Street, Scottsburg IN 47170. This licensed professional license is current. The license was granted 03/14/2014 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Bryan Mansfield Denham
Controlled Substance Registration - Physician
License number
01073562B
Date granted
03/14/2014
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
1451 N Gardner Street, Scottsburg IN 47170
indianalicensing.org
ID 27719367
LAST UPDATED 2024-04-03 07:03:10 UTC

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