Indiana
Professional Licensing Agency
RICHARD BOWMAN JUERGENS
Controlled Substance Registration - Physician
License number
01018202C
Date granted
10/17/1985
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
5110 NORTH CLINTON STREET, FORT WAYNE IN 46825
indianalicensing.org
ID 5854265
LAST UPDATED 2024-03-20 18:42:05 UTC
LAST UPDATED 2024-03-20 18:42:05 UTC
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