Indiana
Professional Licensing Agency
Calvin Russell
Controlled Substance Registration - Physician
License number
01024365C
Date granted
06/23/1999
Date expires
06/30/2009
Class
Controlled Substance Registration - Physician
Status
Expired
Address
717 MAIN ST, GAS CITY IN 46933
indianalicensing.org
ID 5857937
LAST UPDATED 2024-03-27 08:57:06 UTC
LAST UPDATED 2024-03-27 08:57:06 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.