Larry Edward Cummins
Controlled Substance Registration - Physician
Indiana 01020590B Expired
This Indiana license was held by Larry Edward Cummins. The license is no longer active. It was granted on 11/08/1999 and expired on 06/30/2005
LICENSE DETAILS
- License Number: 01020590B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 11/08/1999 (over 24 years ago)
- Expiry Date: 06/30/2005 (almost 19 years ago)
LOCATIONS
A Address
3600 NORTH PROW RD, BLOOMINGTON IN 47408