Edward Louis Brundick, Jr.
Controlled Substance Registration - Physician
Indiana 01023725C Active
This Indiana license is held by Edward Louis Brundick, Jr.. The license is currently active. It was granted on 06/18/2009 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 01023725C
- Category: CSR-Physician
- Status: Active
- Date Granted: 06/18/2009 (about 17 years ago)
- Expiry Date: 10/31/2015 (over 10 years ago)
LOCATIONS
A Address
4211 Fairfax Court, Evansville IN 47710
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