Susan A Birndorf
Controlled Substance Registration-Osteopathic Physician
Indiana 02002207B Expired
This Indiana license was held by Susan A Birndorf. The license is no longer active. It was granted on 07/18/2000 and expired on 06/30/2003
LICENSE DETAILS
- License Number: 02002207B
- Category: CSR-Osteopathic Physician
- Status: Expired
- Date Granted: 07/18/2000 (almost 24 years ago)
- Expiry Date: 06/30/2003 (almost 21 years ago)
LOCATIONS
A Address
MEDICAL GROUP OF FORT WAYNE, 7836 WEST JEFFERSON BOULEVARD, Fort Wayne IN 46801-2505