Indiana
Professional Licensing Agency
Charles S. Paine, Jr.
Controlled Substance Registration - Physician
License number
01036853C
Date granted
07/26/1994
Date expires
06/30/1995
Class
Controlled Substance Registration - Physician
Status
Expired
Address
FAMILY PRACTICE ASSOCIATES P C, 1314 E 7TH STREET SUITE 101, AUBURN IN 46706
indianalicensing.org
ID 5819167
LAST UPDATED 2024-02-25 11:55:31 UTC
LAST UPDATED 2024-02-25 11:55:31 UTC
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