Indiana
Professional Licensing Agency
Soren Russert Kraemer
Controlled Substance Registration - Physician
License number
01038338B
Date granted
05/21/1990
Date expires
06/30/1993
Class
Controlled Substance Registration - Physician
Status
Expired
Address
7230 ENGLE ROAD, FORT WAYNE IN 46804
indianalicensing.org
ID 5854504
LAST UPDATED 2024-02-03 17:38:33 UTC
LAST UPDATED 2024-02-03 17:38:33 UTC
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