Indiana
Professional Licensing Agency
Randall K. Carpenter
Controlled Substance Registration - Physician
License number
01020756B
Date granted
01/31/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Rhonda Dellinger CMA, 333 North Oak Street, Columbia City IN 46725
indianalicensing.org
ID 5835644
LAST UPDATED 2024-03-09 00:01:07 UTC
LAST UPDATED 2024-03-09 00:01:07 UTC
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