Indiana
Professional Licensing Agency
Joseph M. Black
Controlled Substance Registration - Physician
License number
01014603B
Date granted
04/30/1986
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
502 WEST SECOND STREET, SEYMOUR IN 47274
indianalicensing.org
ID 5918667
LAST UPDATED 2024-03-14 10:11:58 UTC
LAST UPDATED 2024-03-14 10:11:58 UTC
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