Indiana
Professional Licensing Agency
James Reis
Controlled Substance Registration - Physician
License number
01058750B
Date granted
04/07/2004
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
1471 Chester Blvd, Richmond IN 47374
indianalicensing.org
ID 5913338
LAST UPDATED 2024-03-02 14:42:14 UTC
LAST UPDATED 2024-03-02 14:42:14 UTC
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