Indiana
Professional Licensing Agency
Daniel L. Reaven
Controlled Substance Registration - Physician
License number
01066480B
Date granted
04/06/2009
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Methodist Hospital, 600 Grant St., Gary IN 46402
indianalicensing.org
ID 5856414
LAST UPDATED 2024-05-21 12:19:19 UTC
LAST UPDATED 2024-05-21 12:19:19 UTC
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