Indiana
Professional Licensing Agency
Ricardo Ruiz Dorotheo, III
Controlled Substance Registration - Physician
License number
01042508B
Date granted
07/01/1994
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Monroe Hospital, 4011 S. Tiwari Blvd., Bloomington IN 47403
indianalicensing.org
ID 5825551
LAST UPDATED 2024-02-12 11:57:00 UTC
LAST UPDATED 2024-02-12 11:57:00 UTC
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