Indiana
Professional Licensing Agency
Charles Ross King
Controlled Substance Registration - Physician
License number
01020468C
Date granted
08/06/2004
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
920 North Madison Avenue, Anderson IN 46011
indianalicensing.org
ID 5816813
LAST UPDATED 2024-03-03 08:17:09 UTC
LAST UPDATED 2024-03-03 08:17:09 UTC
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