License holder summary

Raphael Anthony Carter is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Raphael Anthony Carter is 1451 N Gardner Street, Scottsburg IN 47170. This licensed professional license is current. The license was granted 08/01/1995 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Raphael Anthony Carter
Controlled Substance Registration - Physician
License number
01044045B
Date granted
08/01/1995
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
1451 N Gardner Street, Scottsburg IN 47170
indianalicensing.org
ID 5917957
LAST UPDATED 2024-02-11 23:15:34 UTC

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