Indiana
Professional Licensing Agency
Edward Andrew Davis
Controlled Substance Registration - Physician
License number
01018020B
Date granted
10/31/1984
Date expires
06/30/2007
Class
Controlled Substance Registration - Physician
Status
Expired
Address
IRELAND ROAD MEDICAL GROUPE MED POINT, 1815 EAST IRELAND ROAD, SOUTH BEND IN 46614
indianalicensing.org
ID 5920819
LAST UPDATED 2024-04-13 05:01:25 UTC
LAST UPDATED 2024-04-13 05:01:25 UTC
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