License holder summary

Robert Ethan Applebaum is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Robert Ethan Applebaum is Attn: Medical Staff Office, 5454 Hohman Avenue, Hammond IN 46320. This licensed professional license is not current. The license was granted 06/02/1987 and expired on 10/31/2013.

Indiana

Professional Licensing Agency

Robert Ethan Applebaum
Controlled Substance Registration - Physician
License number
01035864B
Date granted
06/02/1987
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Attn: Medical Staff Office, 5454 Hohman Avenue, Hammond IN 46320
indianalicensing.org
ID 5865132
LAST UPDATED 2024-02-11 05:26:39 UTC

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