Indiana
Professional Licensing Agency
John Philip Clark
Controlled Substance Registration - Physician
License number
01048899B
Date granted
07/17/1998
Date expires
06/30/2003
Class
Controlled Substance Registration - Physician
Status
Expired
Address
ST VINCENT FRANKFORT HOSPITAL, 1300 SOUTH JACKSON STREET, Frankfort IN 46041
indianalicensing.org
ID 5855110
LAST UPDATED 2024-04-24 01:04:17 UTC
LAST UPDATED 2024-04-24 01:04:17 UTC
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