Indiana
Professional Licensing Agency
Paul Revere Honan, Jr.
Controlled Substance Registration - Physician
License number
01015185B
Date granted
03/31/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
P O BOX 588, 1720 NORTH LEBANON STREET, LEBANON IN 46052
indianalicensing.org
ID 5883979
LAST UPDATED 2024-04-22 16:35:24 UTC
LAST UPDATED 2024-04-22 16:35:24 UTC
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