Indiana
Professional Licensing Agency
John Robert Clark
Controlled Substance Registration - Physician
License number
01044745B
Date granted
02/29/1996
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
VENCOR HOSPITAL, 0300 N OOEW TOWNLINE ROAD, LAGRANGE IN 46761
indianalicensing.org
ID 5881013
LAST UPDATED 2024-03-29 05:48:15 UTC
LAST UPDATED 2024-03-29 05:48:15 UTC
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