Indiana
Professional Licensing Agency
Ralph Ivon Hartsough
Controlled Substance Registration - Physician
License number
01016477B
Date granted
03/31/1986
Date expires
06/30/2003
Class
Controlled Substance Registration - Physician
Status
Expired
Address
24078 STANTON ROAD, NORTH LIBERTY IN 46554
indianalicensing.org
ID 5907534
LAST UPDATED 2024-04-27 01:32:20 UTC
LAST UPDATED 2024-04-27 01:32:20 UTC
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