BEN EMERSON CROUSE
Controlled Substance Registration - Physician
Indiana 01020589B Expired
This Indiana license was held by BEN EMERSON CROUSE. The license is no longer active. It was granted on 08/31/1986 and expired on 06/30/1991
LICENSE DETAILS
- License Number: 01020589B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 08/31/1986 (almost 39 years ago)
- Expiry Date: 06/30/1991 (almost 34 years ago)
LOCATIONS
A Address
C/O INDIANA VETERANS HOME, 3851 N RIVER ROAD, WEST LAFAYETTE IN 47906