RUSSELL C HANSELMAN
Controlled Substance Registration - Physician
Indiana 01013128B Expired
This Indiana license was held by RUSSELL C HANSELMAN. The license is no longer active. It was granted on 03/29/1938 and expired on 12/31/1983
LICENSE DETAILS
- License Number: 01013128B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 03/29/1938 (about 87 years ago)
- Expiry Date: 12/31/1983 (over 41 years ago)
LOCATIONS
A Address
805 S INDIANA AVE, AUBURN IN 46706