License holder summary

John Robert Russell is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for John Robert Russell is 1633 NORTH CAPITOL AVE, INDIANAPOLIS IN 46202. This licensed professional license is not current. The license was granted 10/09/1951 and expired on 08/31/1985.

Indiana

Professional Licensing Agency

John Robert Russell
Controlled Substance Registration - Physician
License number
01016293B
Date granted
10/09/1951
Date expires
08/31/1985
Class
Controlled Substance Registration - Physician
Status
Expired
Address
1633 NORTH CAPITOL AVE, INDIANAPOLIS IN 46202
indianalicensing.org
ID 5869964
LAST UPDATED 2024-02-11 10:25:53 UTC

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