Indiana
Professional Licensing Agency
RALPH HERBERT EISAMAN
Controlled Substance Registration - Physician
License number
01040067B
Date granted
06/16/1992
Date expires
06/30/1993
Class
Controlled Substance Registration - Physician
Status
Expired
Address
LOGANSPORT STATE HOSP CLINICAL DIRECTOR, STATE RD 25 SOUTH, LOGANSPORT IN 46947
indianalicensing.org
ID 5885580
LAST UPDATED 2026-06-10 14:43:27 UTC
LAST UPDATED 2026-06-10 14:43:27 UTC
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