Indiana
Professional Licensing Agency
JERDA MARIE RILEY
Controlled Substance Registration - Physician
License number
01038676B
Date granted
12/02/1992
Date expires
06/30/1993
Class
Controlled Substance Registration - Physician
Status
Expired
Address
METHODIST HOSPITAL DOCTORS MAIL BOX, 600 GRANT STREET, GARY IN 46402
indianalicensing.org
ID 5856772
LAST UPDATED 2024-04-01 16:38:35 UTC
LAST UPDATED 2024-04-01 16:38:35 UTC
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