License holder summary

CHARLES GORDON WHITE is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for CHARLES GORDON WHITE is 4402 TRAILRIDGE ROAD, BLOOMINGTON IN 47408. This licensed professional license is not current. The license was granted 04/10/1989 and expired on 06/30/1991.

Indiana

Professional Licensing Agency

CHARLES GORDON WHITE
Controlled Substance Registration - Physician
License number
01035721B
Date granted
04/10/1989
Date expires
06/30/1991
Class
Controlled Substance Registration - Physician
Status
Expired
Address
4402 TRAILRIDGE ROAD, BLOOMINGTON IN 47408
indianalicensing.org
ID 5823932
LAST UPDATED 2024-02-22 09:17:09 UTC

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