Indiana
Professional Licensing Agency
RUSSELL SELDON HENRY
Controlled Substance Registration - Physician
License number
01012112B
Date granted
03/31/1986
Date expires
06/30/1987
Class
Controlled Substance Registration - Physician
Status
Expired
Address
6932 BUICK DRIVE, INDIANAPOLIS IN 46224
indianalicensing.org
ID 5870742
LAST UPDATED 2024-03-23 06:59:14 UTC
LAST UPDATED 2024-03-23 06:59:14 UTC
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