Indiana
Professional Licensing Agency
E BRISCOE LETT
Controlled Substance Registration - Physician
License number
01012542B
Date granted
08/28/1934
Date expires
05/31/1983
Class
Controlled Substance Registration - Physician
Status
Expired
Address
404 J F KENNEDY AVE, LOOGOOTEE IN 47553
indianalicensing.org
ID 5886009
LAST UPDATED 2024-03-23 01:33:30 UTC
LAST UPDATED 2024-03-23 01:33:30 UTC
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