Indiana
Professional Licensing Agency
Richard T. Eden
Controlled Substance Registration - Physician
License number
01042420B
Date granted
04/21/1994
Date expires
06/30/2009
Class
Controlled Substance Registration - Physician
Status
Expired
Address
421 West First Street, Bloomington IN 47402
indianalicensing.org
ID 5825638
LAST UPDATED 2024-03-27 20:25:24 UTC
LAST UPDATED 2024-03-27 20:25:24 UTC
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