Indiana
Professional Licensing Agency
LAWRENCE A KRUSE SUSSER
Controlled Substance Registration - Physician
License number
01040883B
Date granted
10/29/1992
Date expires
06/30/1993
Class
Controlled Substance Registration - Physician
Status
Expired
Address
SOUTH CENTRAL COMM MENTAL HEALTH CTRS, 645 SOUTH ROGERS, BLOOMINGTON IN 47403
indianalicensing.org
ID 5825038
LAST UPDATED 2024-04-24 01:54:56 UTC
LAST UPDATED 2024-04-24 01:54:56 UTC
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