Indiana
Professional Licensing Agency
Charles Ericson Buck
Controlled Substance Registration - Physician
License number
01025318B
Date granted
07/25/1989
Date expires
06/30/2011
Class
Controlled Substance Registration - Physician
Status
Expired
Address
501 E Hospital Lane Suite 105, TERRE HAUTE IN 47802
indianalicensing.org
ID 5924819
LAST UPDATED 2024-02-04 14:58:33 UTC
LAST UPDATED 2024-02-04 14:58:33 UTC
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