Indiana
Professional Licensing Agency
Danielle Nicole Clark
Controlled Substance Registration-Osteopathic Physician
License number
02004246B
Date granted
07/11/2013
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
Riley Hospital for Children, 705 Riley Hospital Drive, Indianapolis IN 46205
indianalicensing.org
ID 5804204
LAST UPDATED 2024-03-17 23:40:17 UTC
LAST UPDATED 2024-03-17 23:40:17 UTC
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