Alan Russell Koslow

Controlled Substance Registration - Physician

Indiana  01041937B   Expired

This Indiana license was held by Alan Russell Koslow. The license is no longer active. It was granted on 10/13/1993 and expired on 06/30/1995

LICENSE DETAILS

  • License Number: 01041937B
  • Category: CSR-Physician
  • Status: Expired
  • Date Granted: 10/13/1993 (over 31 years ago)
  • Expiry Date: 06/30/1995 (almost 30 years ago)

LOCATIONS

A Address

403 N. Walnut, Bloomington IN 47401