Indiana
Professional Licensing Agency
Windham Bremer
Controlled Substance Registration - Physician
License number
01023232B
Date granted
04/30/1986
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
301 West Homer Street, Michigan City IN 46360
indianalicensing.org
ID 5893989
LAST UPDATED 2024-04-19 08:23:08 UTC
LAST UPDATED 2024-04-19 08:23:08 UTC
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