Indiana
Professional Licensing Agency
EUGENE GAYLE ROACH
Controlled Substance Registration - Physician
License number
01024082B
Date granted
08/31/1986
Date expires
06/30/2003
Class
Controlled Substance Registration - Physician
Status
Expired
Address
406 IRONWOOD LANE, Anderson IN 46011
indianalicensing.org
ID 5817106
LAST UPDATED 2024-05-21 07:07:57 UTC
LAST UPDATED 2024-05-21 07:07:57 UTC
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