Indiana
Professional Licensing Agency
Johnathan Ray Grant
Controlled Substance Registration-Osteopathic Physician
License number
02004177B
Date granted
04/08/2013
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
Good Samaritan Hospital, 520 South Seventh Street, Vincennes IN 47591
indianalicensing.org
ID 5815088
LAST UPDATED 2024-03-13 04:10:31 UTC
LAST UPDATED 2024-03-13 04:10:31 UTC
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