Calvin Russell
Controlled Substance Registration - Physician
Indiana 01024365B Active
This Indiana license is held by Calvin Russell. The license is currently active. It was granted on 05/31/1984 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 01024365B
- Category: CSR-Physician
- Status: Active
- Date Granted: 05/31/1984 (about 40 years ago)
- Expiry Date: 10/31/2015 (over 8 years ago)
LOCATIONS
A Address
1391 NORTH BALDWIN, MARION IN 46952
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