License holder summary

Eric D Clark is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Eric D Clark is 8244 EAST U S 36 STE 1100, Avon IN 46123. This licensed professional license is not current. The license was granted 11/30/1984 and expired on 06/30/2009.

Indiana

Professional Licensing Agency

Eric D Clark
Controlled Substance Registration - Physician
License number
01022701B
Date granted
11/30/1984
Date expires
06/30/2009
Class
Controlled Substance Registration - Physician
Status
Expired
Address
8244 EAST U S 36 STE 1100, Avon IN 46123
indianalicensing.org
ID 5820062
LAST UPDATED 2024-04-05 16:10:45 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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