Indiana
Professional Licensing Agency
Ray Firestein
Controlled Substance Registration - Physician
License number
01013791B
Date granted
08/28/1941
Date expires
10/31/1982
Class
Controlled Substance Registration - Physician
Status
Expired
Address
502 N. IRONWOOD DR, SOUTH BEND IN 46615
indianalicensing.org
ID 5921972
LAST UPDATED 2024-04-27 16:26:59 UTC
LAST UPDATED 2024-04-27 16:26:59 UTC
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