Indiana
Professional Licensing Agency
Scott D. Longevin
Controlled Substance Registration - Physician
License number
01056141B
Date granted
05/08/2002
Date expires
06/30/2009
Class
Controlled Substance Registration - Physician
Status
Expired
Address
FAYETTE MEMORIAL HOSPITAL, 1941 VIRGINIA AVE, CONNERSVILLE IN 47331
indianalicensing.org
ID 5838237
LAST UPDATED 2026-05-31 15:55:43 UTC
LAST UPDATED 2026-05-31 15:55:43 UTC
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