Indiana
Professional Licensing Agency
S Campbell Gabrielsen
Controlled Substance Registration - Physician
License number
01039423B
Date granted
07/11/1991
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Premier Healthcare, 550 S Landmark Avenue, Bloomington IN 47403
indianalicensing.org
ID 5860678
LAST UPDATED 2024-04-13 12:00:07 UTC
LAST UPDATED 2024-04-13 12:00:07 UTC
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