Bradley W Erickson

Controlled Substance Registration - Physician

Indiana  01059864B   Active

This Indiana license is held by Bradley W Erickson. The license is currently active. It was granted on 10/14/2004 and expired on 10/31/2015

LICENSE DETAILS

  • License Number: 01059864B
  • Category: CSR-Physician
  • Status: Active
  • Date Granted: 10/14/2004 (over 20 years ago)
  • Expiry Date: 10/31/2015 (over 9 years ago)

LOCATIONS

A Address

1115 N. Ronald Regan Pkwy, Suite 206, Avon IN 46123