Indiana
Professional Licensing Agency
EDWARD ALEX GERGESHA
Controlled Substance Registration - Physician
License number
01020789B
Date granted
12/31/1983
Date expires
06/30/2007
Class
Controlled Substance Registration - Physician
Status
Expired
Address
1627 EAST BRISTOL STREET, ELKHART IN 46514
indianalicensing.org
ID 5847125
LAST UPDATED 2024-03-06 23:35:30 UTC
LAST UPDATED 2024-03-06 23:35:30 UTC
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