Edward Louis Brundick, Jr.
Controlled Substance Registration - Physician
Indiana 01023725B Expired
This Indiana license was held by Edward Louis Brundick, Jr.. The license is no longer active. It was granted on 04/30/1986 and expired on 06/30/2005
LICENSE DETAILS
- License Number: 01023725B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 04/30/1986 (about 40 years ago)
- Expiry Date: 06/30/2005 (about 21 years ago)
LOCATIONS
A Address
4211 Fair Fax Ct., Evansville IN 47710