Indiana
Professional Licensing Agency
Diana Lynn Clark
Controlled Substance Registration - Physician
License number
01029421C
Date granted
03/18/1993
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
1703 Ashwood Drive, Greenwood IN 46143
indianalicensing.org
ID 5861642
LAST UPDATED 2024-04-22 13:23:27 UTC
LAST UPDATED 2024-04-22 13:23:27 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.