License holder summary

Robert Edgar Grondahl is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Robert Edgar Grondahl is 1115 N Ronald Reagan Parkway Suite 100, Avon IN 46123. This licensed professional license is current. The license was granted 11/30/2004 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Robert Edgar Grondahl
Controlled Substance Registration - Physician
License number
01059882B
Date granted
11/30/2004
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
1115 N Ronald Reagan Parkway Suite 100, Avon IN 46123
indianalicensing.org
ID 5820586
LAST UPDATED 2024-04-30 06:15:50 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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