Indiana
Professional Licensing Agency
Frank Whitney Countryman
Controlled Substance Registration - Physician
License number
01016370B
Date granted
11/30/1985
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Expired
Address
5886 CENTRAL AVENUE, INDIANAPOLIS IN 46220
indianalicensing.org
ID 5869367
LAST UPDATED 2024-02-04 03:47:09 UTC
LAST UPDATED 2024-02-04 03:47:09 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.