Indiana
Professional Licensing Agency
Randolph Roberts
Controlled Substance Registration - Physician
License number
01036998B
Date granted
07/14/1993
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
St. Anthony Hospital ATTN: Medical Staff Office, 1201 S. Main, Crown Point IN 46307
indianalicensing.org
ID 5841799
LAST UPDATED 2024-02-27 07:43:27 UTC
LAST UPDATED 2024-02-27 07:43:27 UTC
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