Indiana
Professional Licensing Agency
Raymond Edward Hines, III
Controlled Substance Registration-Physician Assistant
License number
10001075B
Date granted
03/27/2009
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
Midwest Minimally Invasive Spine Specialist, S.C., 840 Richard Road Suite 4, Dyer IN 46311
indianalicensing.org
ID 8386258
LAST UPDATED 2024-03-16 23:14:12 UTC
LAST UPDATED 2024-03-16 23:14:12 UTC
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