Indiana
Professional Licensing Agency
MILTON H GUSTAFSON
Controlled Substance Registration - Physician
License number
01013902B
Date granted
12/31/1985
Date expires
06/30/1993
Class
Controlled Substance Registration - Physician
Status
Expired
Address
4501 N WHEELING AVE #5C, MUNCIE IN 47304
indianalicensing.org
ID 5899019
LAST UPDATED 2024-03-24 10:32:02 UTC
LAST UPDATED 2024-03-24 10:32:02 UTC
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