Indiana
Professional Licensing Agency
Clarence Amayun
Controlled Substance Registration - Physician
License number
01041643B
Date granted
07/29/1993
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
3611 South Reed Road, Suite 214, Kokomo IN 46902
indianalicensing.org
ID 5875796
LAST UPDATED 2024-04-24 00:49:53 UTC
LAST UPDATED 2024-04-24 00:49:53 UTC
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