MALCOLM DARRELL LONG
Controlled Substance Registration - Physician
Indiana 01019089B Expired
This Indiana license was held by MALCOLM DARRELL LONG. The license is no longer active. It was granted on 05/31/1986 and expired on 06/30/1999
LICENSE DETAILS
- License Number: 01019089B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 05/31/1986 (about 39 years ago)
- Expiry Date: 06/30/1999 (almost 26 years ago)
LOCATIONS
A Address
HANCOCK MEMORIAL HOSPITAL, 801 NORTH STATE STREET, GREENFIELD IN 46140