Indiana
Professional Licensing Agency
Irene M. Gordon
Controlled Substance Registration - Physician
License number
01031583B
Date granted
04/30/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Faith Hope & Love Cancer Care, 1425 Unity Place, P.O. Box 4699, Lafayette IN 47903-4699
indianalicensing.org
ID 5879591
LAST UPDATED 2024-03-12 18:24:46 UTC
LAST UPDATED 2024-03-12 18:24:46 UTC
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