Indiana
Professional Licensing Agency
Matthew David Bruns
Controlled Substance Registration - Physician
License number
01038513C
Date granted
07/02/1997
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Expired
Address
11846 Lakeside Drive, Fishers IN 46038
indianalicensing.org
ID 5852061
LAST UPDATED 2024-04-25 00:25:04 UTC
LAST UPDATED 2024-04-25 00:25:04 UTC
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