Reynolds B Brissenden
Controlled Substance Registration - Physician
Indiana 01022544D Expired
This Indiana license was held by Reynolds B Brissenden. The license is no longer active. It was granted on 03/22/2011 and expired on 10/31/2013
LICENSE DETAILS
- License Number: 01022544D
- Category: CSR-Physician
- Status: Expired
- Date Granted: 03/22/2011 (about 15 years ago)
- Expiry Date: 10/31/2013 (over 12 years ago)
LOCATIONS
A Address
Memorial Hospital (IMED), 939 Memorial Drive, Jasper IN 47546