Indiana
Professional Licensing Agency
Edward Long, Jr.
Controlled Substance Registration - Physician
License number
01034249B
Date granted
01/22/1990
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
attn: Linda, 24068 PROFESSIONAL PARK DRIVE, Lawrenceburg IN 47025
indianalicensing.org
ID 5881970
LAST UPDATED 2024-03-07 14:49:39 UTC
LAST UPDATED 2024-03-07 14:49:39 UTC
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