Indiana
Professional Licensing Agency
CHARLES MULLINS BROHM
Controlled Substance Registration - Physician
License number
01039758C
Date granted
09/26/1991
Date expires
06/30/1993
Class
Controlled Substance Registration - Physician
Status
Expired
Address
MEDICAL ARTS BUILDING, 721 WEST 13TH STREET, JASPER IN 47546
indianalicensing.org
ID 5871412
LAST UPDATED 2024-04-06 21:33:20 UTC
LAST UPDATED 2024-04-06 21:33:20 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.