Indiana
Professional Licensing Agency
Frederick Ray Ridge, JR
Controlled Substance Registration - Physician
License number
01025688B
Date granted
04/11/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
1043 N 1000 W, LINTON IN 47441
indianalicensing.org
ID 5884577
LAST UPDATED 2024-05-15 15:40:49 UTC
LAST UPDATED 2024-05-15 15:40:49 UTC
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