Indiana
Professional Licensing Agency
L R ADERS
Controlled Substance Registration - Physician
License number
01030201B
Date granted
08/31/1986
Date expires
06/30/1997
Class
Controlled Substance Registration - Physician
Status
Expired
Address
3500 S LAFOUNTAIN STREET, KOKOMO IN 46902
indianalicensing.org
ID 5876539
LAST UPDATED 2024-03-14 10:43:20 UTC
LAST UPDATED 2024-03-14 10:43:20 UTC
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