Indiana
Professional Licensing Agency
Joseph Richardson
Controlled Substance Registration - Physician
License number
01060995B
Date granted
07/14/2005
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Attention: Shannon Jenks, 2101 E. Dubois Drive, Warsaw IN 46580
indianalicensing.org
ID 5932637
LAST UPDATED 2024-04-19 17:18:27 UTC
LAST UPDATED 2024-04-19 17:18:27 UTC
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