SUSAN ELLEN BRADFORD
Controlled Substance Registration - Physician
Indiana 01038098B Expired
This Indiana license was held by SUSAN ELLEN BRADFORD. The license is no longer active. It was granted on 11/25/1991 and expired on 06/30/1993
LICENSE DETAILS
- License Number: 01038098B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 11/25/1991 (over 34 years ago)
- Expiry Date: 06/30/1993 (about 33 years ago)
LOCATIONS
A Address
1307 RIDGEWAY AVE, VINCENNES IN 47591