Indiana
Professional Licensing Agency
COBY T RICHESON
Controlled Substance Registration - Physician
License number
01053052B
Date granted
05/28/2002
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Clarian West Med Ctr, 1115 Ronald Regan Pkwy, Suite 141, Avon IN 46123
indianalicensing.org
ID 5819986
LAST UPDATED 2024-04-08 09:36:14 UTC
LAST UPDATED 2024-04-08 09:36:14 UTC
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