Indiana
Professional Licensing Agency
RUSSELL C HANSELMAN
Controlled Substance Registration - Physician
License number
01013128B
Date granted
03/29/1938
Date expires
12/31/1983
Class
Controlled Substance Registration - Physician
Status
Expired
Address
805 S INDIANA AVE, AUBURN IN 46706
indianalicensing.org
ID 5819462
LAST UPDATED 2024-02-16 04:50:22 UTC
LAST UPDATED 2024-02-16 04:50:22 UTC
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