Indiana
Professional Licensing Agency
Charles Bernard Clagett, Jr.
Controlled Substance Registration - Physician
License number
01071822B
Date granted
11/27/2012
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
12 Karwick Glen, Michigan City IN 46360
indianalicensing.org
ID 5892310
LAST UPDATED 2024-04-14 00:07:44 UTC
LAST UPDATED 2024-04-14 00:07:44 UTC
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