EDWARD A MLADICK
Controlled Substance Registration - Physician
Indiana 01020214B Expired
This Indiana license was held by EDWARD A MLADICK. The license is no longer active. It was granted on 09/11/1963 and expired on 02/28/1984
LICENSE DETAILS
- License Number: 01020214B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 09/11/1963 (almost 62 years ago)
- Expiry Date: 02/28/1984 (over 41 years ago)
LOCATIONS
A Address
101 MARILYN AVENUE, GOSHEN IN 46526