Indiana
Professional Licensing Agency
JOEL DAVID EISENBERG
Controlled Substance Registration - Physician
License number
01034105B
Date granted
03/13/1985
Date expires
06/30/1989
Class
Controlled Substance Registration - Physician
Status
Expired
Address
1300 STATE STREET, LAPORTE IN 46350
indianalicensing.org
ID 5878064
LAST UPDATED 2024-04-11 11:16:55 UTC
LAST UPDATED 2024-04-11 11:16:55 UTC
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