Indiana
Professional Licensing Agency
Grace M. Badman
Controlled Substance Registration - Physician
License number
01048898B
Date granted
09/06/2005
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
6911 E. U.S. 36, Avon IN 46123
indianalicensing.org
ID 5820087
LAST UPDATED 2024-03-06 21:22:02 UTC
LAST UPDATED 2024-03-06 21:22:02 UTC
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