Indiana
Professional Licensing Agency
MALCOLM DARRELL LONG
Controlled Substance Registration - Physician
License number
01019089B
Date granted
05/31/1986
Date expires
06/30/1999
Class
Controlled Substance Registration - Physician
Status
Expired
Address
HANCOCK MEMORIAL HOSPITAL, 801 NORTH STATE STREET, GREENFIELD IN 46140
indianalicensing.org
ID 5860544
LAST UPDATED 2024-03-14 20:18:05 UTC
LAST UPDATED 2024-03-14 20:18:05 UTC
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