Indiana
Professional Licensing Agency
George E. Paine
Controlled Substance Registration - Physician
License number
01014817B
Date granted
12/31/1985
Date expires
06/30/1995
Class
Controlled Substance Registration - Physician
Status
Expired
Address
P O BOX 536, BRISTOL IN 46507
indianalicensing.org
ID 5827951
LAST UPDATED 2024-04-28 20:37:27 UTC
LAST UPDATED 2024-04-28 20:37:27 UTC
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