License holder summary

RAYMOND LEROY CONKLIN is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for RAYMOND LEROY CONKLIN is 215 SWANSON CIRCLE W, SOUTH BEND IN 46615. This licensed professional license is not current. The license was granted 11/30/1986 and expired on 06/30/1997.

Indiana

Professional Licensing Agency

RAYMOND LEROY CONKLIN
Controlled Substance Registration - Physician
License number
01014267B
Date granted
11/30/1986
Date expires
06/30/1997
Class
Controlled Substance Registration - Physician
Status
Expired
Address
215 SWANSON CIRCLE W, SOUTH BEND IN 46615
indianalicensing.org
ID 5922007
LAST UPDATED 2024-02-12 11:09:42 UTC

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