Indiana
Professional Licensing Agency
CLYDE G BOTKIN
Controlled Substance Registration - Physician
License number
01013977B
Date granted
04/30/1986
Date expires
06/30/1989
Class
Controlled Substance Registration - Physician
Status
Expired
Address
520 WEST MAIN STREET, MUNCIE IN 47305
indianalicensing.org
ID 5897825
LAST UPDATED 2024-03-25 00:15:59 UTC
LAST UPDATED 2024-03-25 00:15:59 UTC
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