Indiana
Professional Licensing Agency
Edward P. Eberth
Controlled Substance Registration - Physician
License number
01025068B
Date granted
07/30/1986
Date expires
06/30/2011
Class
Controlled Substance Registration - Physician
Status
Expired
Address
416 Zoar Church Road, Madison IN 47250
indianalicensing.org
ID 5886493
LAST UPDATED 2024-02-06 01:53:44 UTC
LAST UPDATED 2024-02-06 01:53:44 UTC
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