Indiana
Professional Licensing Agency
Donald Roberts Black
Controlled Substance Registration - Physician
License number
01065826B
Date granted
09/10/2008
Date expires
06/30/2011
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Deaconess Gateway Hospital, 4011 Gateway Blvd., Newburgh IN 47630
indianalicensing.org
ID 5905524
LAST UPDATED 2024-04-26 01:28:55 UTC
LAST UPDATED 2024-04-26 01:28:55 UTC
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