License holder summary

Adolph Ralph Yaniz is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Adolph Ralph Yaniz is 5490 Broadway, Suite 105, Merrillville IN 46410. This licensed professional license is not current. The license was granted 01/18/1990 and expired on 06/30/2011.

Indiana

Professional Licensing Agency

Adolph Ralph Yaniz
Controlled Substance Registration - Physician
License number
01038025B
Date granted
01/18/1990
Date expires
06/30/2011
Class
Controlled Substance Registration - Physician
Status
Suspended
Address
5490 Broadway, Suite 105, Merrillville IN 46410
indianalicensing.org
ID 5889779
LAST UPDATED 2024-02-13 01:04:51 UTC

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