Edward L C Broomes

Controlled Substance Registration - Physician

Indiana  01014722B   Expired

This Indiana license was held by Edward L C Broomes. The license is no longer active. It was granted on 04/30/1986 and expired on 06/30/1997

LICENSE DETAILS

  • License Number: 01014722B
  • Category: CSR-Physician
  • Status: Expired
  • Date Granted: 04/30/1986 (about 38 years ago)
  • Expiry Date: 06/30/1997 (almost 27 years ago)

LOCATIONS

A Address

2402 BROADWAY, EAST CHICAGO IN 46312