License holder summary

RUSSELL S EISENBERG is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for RUSSELL S EISENBERG is ST MARGARETS HOSP EMER ROOM, 5454 HOHMAN AVENUE, HAMMOND IN 46320. This licensed professional license is not current. The license was granted 09/30/1986 and expired on 06/30/1989.

Indiana

Professional Licensing Agency

RUSSELL S EISENBERG
Controlled Substance Registration - Physician
License number
01033643B
Date granted
09/30/1986
Date expires
06/30/1989
Class
Controlled Substance Registration - Physician
Status
Expired
Address
ST MARGARETS HOSP EMER ROOM, 5454 HOHMAN AVENUE, HAMMOND IN 46320
indianalicensing.org
ID 5865211
LAST UPDATED 2024-03-16 05:17:03 UTC

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