Indiana
Professional Licensing Agency
LeRoy D. Weaver, Jr.
Controlled Substance Registration - Physician
License number
01060476B
Date granted
04/27/2006
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Radiology, Inc., 620 W. Edison Road, Suite 110, Mishawaka IN 46545
indianalicensing.org
ID 5895405
LAST UPDATED 2024-04-07 17:17:10 UTC
LAST UPDATED 2024-04-07 17:17:10 UTC
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