Indiana
Professional Licensing Agency
Edward L C Broomes
Controlled Substance Registration - Physician
License number
01014722B
Date granted
04/30/1986
Date expires
06/30/1997
Class
Controlled Substance Registration - Physician
Status
Expired
Address
2402 BROADWAY, EAST CHICAGO IN 46312
indianalicensing.org
ID 5845132
LAST UPDATED 2024-02-19 11:14:26 UTC
LAST UPDATED 2024-02-19 11:14:26 UTC
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