Indiana
Professional Licensing Agency
Warren C. Polhemus
Controlled Substance Registration - Physician
License number
01014044B
Date granted
12/31/1985
Date expires
06/30/1989
Class
Controlled Substance Registration - Physician
Status
Expired
Address
1803 Pearl Street, Anderson IN 46016
indianalicensing.org
ID 5818356
LAST UPDATED 2024-03-13 01:14:01 UTC
LAST UPDATED 2024-03-13 01:14:01 UTC
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