Indiana
Professional Licensing Agency
Iver Francis Small
Controlled Substance Registration - Physician
License number
01020678B
Date granted
01/31/1986
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
1774 DUNAWAY COURT, INDIANAPOLIS IN 46228
indianalicensing.org
ID 5869636
LAST UPDATED 2024-02-24 19:16:54 UTC
LAST UPDATED 2024-02-24 19:16:54 UTC
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