Indiana
Professional Licensing Agency
Karen Lorraine Reid-Renner
Controlled Substance Registration - Physician
License number
01055670B
Date granted
02/26/2002
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
3209 W. Fullerton Pike, Suite A, Bloomington IN 47403
indianalicensing.org
ID 5824956
LAST UPDATED 2024-03-10 17:55:28 UTC
LAST UPDATED 2024-03-10 17:55:28 UTC
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