License holder summary

SUSAN ELLEN BRADFORD is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for SUSAN ELLEN BRADFORD is 1307 RIDGEWAY AVE, VINCENNES IN 47591. This licensed professional license is not current. The license was granted 11/25/1991 and expired on 06/30/1993.

Indiana

Professional Licensing Agency

SUSAN ELLEN BRADFORD
Controlled Substance Registration - Physician
License number
01038098B
Date granted
11/25/1991
Date expires
06/30/1993
Class
Controlled Substance Registration - Physician
Status
Expired
Address
1307 RIDGEWAY AVE, VINCENNES IN 47591
indianalicensing.org
ID 5931523
LAST UPDATED 2024-03-13 09:46:04 UTC

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