Indiana
Professional Licensing Agency
Randall James Krystosek
Controlled Substance Registration - Physician
License number
01028039B
Date granted
08/31/1986
Date expires
06/30/2011
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Ohio Valley Colon & Rectal Surgeons, 801 ST MARYS DRIVE W, Suite 300, EVANSVILLE IN 47714-0560
indianalicensing.org
ID 5850873
LAST UPDATED 2024-03-30 20:04:04 UTC
LAST UPDATED 2024-03-30 20:04:04 UTC
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