Indiana
Professional Licensing Agency
James E. Reidy
Controlled Substance Registration - Physician
License number
01026919B
Date granted
08/31/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Family Practice Physician, 303 South Main Street, 212, Mishawaka IN 46544
indianalicensing.org
ID 5895122
LAST UPDATED 2024-04-29 07:36:46 UTC
LAST UPDATED 2024-04-29 07:36:46 UTC
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