BEN EMERSON CROUSE
Controlled Substance Registration - Physician
Indiana 01020589C Expired
This Indiana license was held by BEN EMERSON CROUSE. The license is no longer active. It was granted on 09/02/1964 and expired on 07/31/1983
LICENSE DETAILS
- License Number: 01020589C
- Category: CSR-Physician
- Status: Expired
- Date Granted: 09/02/1964 (over 60 years ago)
- Expiry Date: 07/31/1983 (over 41 years ago)
LOCATIONS
A Address
3851 N RIVER RD, WEST LAFAYETTE IN 47906