Indiana
Professional Licensing Agency
HOMER STANLEY ERICSON
Controlled Substance Registration - Physician
License number
01018762B
Date granted
06/30/1986
Date expires
06/30/1989
Class
Controlled Substance Registration - Physician
Status
Expired
Address
107 SOUTH DIXON ROAD, KOKOMO IN 46901
indianalicensing.org
ID 5876153
LAST UPDATED 2024-03-27 08:40:15 UTC
LAST UPDATED 2024-03-27 08:40:15 UTC
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