Indiana
Professional Licensing Agency
GERALD BREIFNI MADER
Controlled Substance Registration - Physician
License number
01044523B
Date granted
12/07/1995
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
1155 WEST JEFFERSON ST STE 101, FRANKLIN IN 46131
indianalicensing.org
ID 5855425
LAST UPDATED 2024-03-28 10:52:53 UTC
LAST UPDATED 2024-03-28 10:52:53 UTC
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