Indiana
Professional Licensing Agency
Earl Albert Braunlin
Controlled Substance Registration - Physician
License number
01018005B
Date granted
04/30/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
717 West Jefferson Street, Fort Wayne IN 46802
indianalicensing.org
ID 5853278
LAST UPDATED 2024-02-18 09:30:09 UTC
LAST UPDATED 2024-02-18 09:30:09 UTC
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