Indiana
Professional Licensing Agency
Ruth Swanson Bainbridge
Controlled Substance Registration - Physician
License number
01031908B
Date granted
12/31/1985
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
3645 N. Sycamore Drive, Marion IN 46952
indianalicensing.org
ID 5888640
LAST UPDATED 2024-02-07 04:41:28 UTC
LAST UPDATED 2024-02-07 04:41:28 UTC
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