Indiana
Professional Licensing Agency
RALPH B ULLOM
Controlled Substance Registration - Physician
License number
01018170B
Date granted
04/30/1986
Date expires
06/30/1995
Class
Controlled Substance Registration - Physician
Status
Expired
Address
520 WAYSIDE DRIVE, INDIANAPOLIS IN 46260
indianalicensing.org
ID 5870445
LAST UPDATED 2024-03-19 10:40:29 UTC
LAST UPDATED 2024-03-19 10:40:29 UTC
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