Indiana
Professional Licensing Agency
David L Clayton
Controlled Substance Registration - Physician
License number
01024951B
Date granted
09/30/1984
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
621 MEMORIAL DRIVE SUITE 624, SOUTH BEND IN 46601
indianalicensing.org
ID 5920728
LAST UPDATED 2024-04-17 16:30:07 UTC
LAST UPDATED 2024-04-17 16:30:07 UTC
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