License holder summary

Edward Louis Brundick, Jr. is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Edward Louis Brundick, Jr. is 4211 Fair Fax Ct., Evansville IN 47710. This licensed professional license is not current. The license was granted 04/30/1986 and expired on 06/30/2005.

Indiana

Professional Licensing Agency

Edward Louis Brundick, Jr.
Controlled Substance Registration - Physician
License number
01023725B
Date granted
04/30/1986
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Expired
Address
4211 Fair Fax Ct., Evansville IN 47710
indianalicensing.org
ID 5849738
LAST UPDATED 2024-02-26 18:57:38 UTC

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