Indiana
Professional Licensing Agency
Andrew C. Reis
Controlled Substance Registration - Physician
License number
01045494B
Date granted
07/25/1996
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
THE CENTER PC, 500 ARCADE AVE STE 300, ELKHART IN 46514
indianalicensing.org
ID 5846610
LAST UPDATED 2024-03-13 03:15:11 UTC
LAST UPDATED 2024-03-13 03:15:11 UTC
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