Indiana
Professional Licensing Agency
Robert A. Gormley
Controlled Substance Registration - Physician
License number
01034068B
Date granted
01/31/1986
Date expires
06/30/1993
Class
Controlled Substance Registration - Physician
Status
Expired
Address
7230 ENGLE ROAD #300, FORT WAYNE IN 46804
indianalicensing.org
ID 5854340
LAST UPDATED 2024-04-03 19:39:15 UTC
LAST UPDATED 2024-04-03 19:39:15 UTC
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