RALPH HERBERT EISAMAN
Controlled Substance Registration - Physician
Indiana 01040067B Expired
This Indiana license was held by RALPH HERBERT EISAMAN. The license is no longer active. It was granted on 06/16/1992 and expired on 06/30/1993
LICENSE DETAILS
- License Number: 01040067B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 06/16/1992 (almost 33 years ago)
- Expiry Date: 06/30/1993 (almost 32 years ago)
LOCATIONS
A Address
LOGANSPORT STATE HOSP CLINICAL DIRECTOR, STATE RD 25 SOUTH, LOGANSPORT IN 46947