Indiana
Professional Licensing Agency
Thomas Edison Gutwein
Controlled Substance Registration - Physician
License number
01039465B
Date granted
07/01/1991
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Professional Emergency Physicians, 2414 East State Street Suite 202, Fort Wayne IN 46805
indianalicensing.org
ID 5854641
LAST UPDATED 2024-01-02 05:25:38 UTC
LAST UPDATED 2024-01-02 05:25:38 UTC
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