Indiana
Professional Licensing Agency
Richard J Eisenhut, Jr.
Controlled Substance Registration - Physician
License number
01032777B
Date granted
07/11/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Unity Physician Group, 1155 West 3rd Street, Bloomington IN 47404
indianalicensing.org
ID 5825609
LAST UPDATED 2024-04-28 08:13:01 UTC
LAST UPDATED 2024-04-28 08:13:01 UTC
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