Indiana
Professional Licensing Agency
John S. Ravita
Controlled Substance Registration - Physician
License number
01069394B
Date granted
04/04/2011
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Cancer Care Partners, 301 E. Day Rd., Mishawaka IN 46545
indianalicensing.org
ID 5895223
LAST UPDATED 2024-04-13 05:16:54 UTC
LAST UPDATED 2024-04-13 05:16:54 UTC
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