Indiana
Professional Licensing Agency
Adolph Ralph Yaniz
Controlled Substance Registration - Physician
License number
01038025B
Date granted
01/18/1990
Date expires
06/30/2011
Class
Controlled Substance Registration - Physician
Status
Suspended
Address
5490 Broadway, Suite 105, Merrillville IN 46410
indianalicensing.org
ID 5889779
LAST UPDATED 2024-05-11 17:35:30 UTC
LAST UPDATED 2024-05-11 17:35:30 UTC
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