Indiana
Professional Licensing Agency
Raymond Lavern Newnum
Controlled Substance Registration - Physician
License number
01016238B
Date granted
06/30/1984
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
6411 MADISON AVENUE, EVANSVILLE IN 47715
indianalicensing.org
ID 5850888
LAST UPDATED 2024-01-30 02:09:47 UTC
LAST UPDATED 2024-01-30 02:09:47 UTC
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