Indiana
Professional Licensing Agency
Walter G. Brueggemann
Controlled Substance Registration - Physician
License number
01021442B
Date granted
04/30/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
411 PLAZA DRIVE # F, COLUMBUS IN 47201
indianalicensing.org
ID 5837464
LAST UPDATED 2024-02-10 08:55:09 UTC
LAST UPDATED 2024-02-10 08:55:09 UTC
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