Indiana
Professional Licensing Agency
GERRY SCOTT EASTERDAY
Controlled Substance Registration - Physician
License number
01036101B
Date granted
07/02/1987
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Parkview Occupational Health, 3103 East State Blvd, Fort Wayne IN 46805
indianalicensing.org
ID 5853365
LAST UPDATED 2024-04-24 01:59:56 UTC
LAST UPDATED 2024-04-24 01:59:56 UTC
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