Indiana
Professional Licensing Agency
James Harrison Raybourn, III
Controlled Substance Registration - Physician
License number
01073813B
Date granted
04/02/2014
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Urology of Indiana, LLC, 679 E. County Line Road, Greenwood IN 46143-1049
indianalicensing.org
ID 27707885
LAST UPDATED 2024-03-22 00:47:10 UTC
LAST UPDATED 2024-03-22 00:47:10 UTC
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