Indiana
Professional Licensing Agency
Philip Ray Renfroe
Controlled Substance Registration - Physician
License number
01072499B
Date granted
08/02/2013
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
4507 South Wigger Street, Marion IN 46953-5320
indianalicensing.org
ID 5888540
LAST UPDATED 2024-03-10 19:28:37 UTC
LAST UPDATED 2024-03-10 19:28:37 UTC
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