License holder summary

RUSSELL ALLEN GARDNER is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for RUSSELL ALLEN GARDNER is 2901 ORIOLE TRAIL, MICHIGAN CITY IN 46360. This licensed professional license is not current. The license was granted 12/31/1985 and expired on 06/30/1989.

Indiana

Professional Licensing Agency

RUSSELL ALLEN GARDNER
Controlled Substance Registration - Physician
License number
01013288B
Date granted
12/31/1985
Date expires
06/30/1989
Class
Controlled Substance Registration - Physician
Status
Expired
Address
2901 ORIOLE TRAIL, MICHIGAN CITY IN 46360
indianalicensing.org
ID 5893567
LAST UPDATED 2024-02-29 12:05:36 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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