Indiana
Professional Licensing Agency
Rebera E. Foston
Controlled Substance Registration - Physician
License number
01031435B
Date granted
02/28/1986
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
1137 EAST RIDGE RD, GARY IN 46409
indianalicensing.org
ID 5857399
LAST UPDATED 2024-05-17 03:33:23 UTC
LAST UPDATED 2024-05-17 03:33:23 UTC
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