Indiana
Professional Licensing Agency
JOHN WILLIAM ROUSSEAU
Controlled Substance Registration - Physician
License number
01017021B
Date granted
08/10/1954
Date expires
08/31/1984
Class
Controlled Substance Registration - Physician
Status
Expired
Address
R R #5 BOX 550, ANGOLA IN, ANGOLA IN 46703
indianalicensing.org
ID 5818704
LAST UPDATED 2024-05-11 07:11:34 UTC
LAST UPDATED 2024-05-11 07:11:34 UTC
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