Indiana
Professional Licensing Agency
Raymond J. Doherty
Controlled Substance Registration - Physician
License number
01016733B
Date granted
10/31/1985
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
984 West 66 Avenue, Merrillville IN 46410
indianalicensing.org
ID 5891425
LAST UPDATED 2024-04-01 12:41:29 UTC
LAST UPDATED 2024-04-01 12:41:29 UTC
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