Indiana
Professional Licensing Agency
Gerald P. Irwin
Controlled Substance Registration - Physician
License number
01024682B
Date granted
06/30/1986
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
2116 S Park Avenue, Alexandria IN 46001
indianalicensing.org
ID 5816423
LAST UPDATED 2024-01-31 03:26:21 UTC
LAST UPDATED 2024-01-31 03:26:21 UTC
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