Indiana
Professional Licensing Agency
Reena John
Controlled Substance Registration - Physician
License number
01046093B
Date granted
01/23/1997
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Dyer Family Practice South, 14785 West 101st Avenue, Dyer IN 46311-3371
indianalicensing.org
ID 5844588
LAST UPDATED 2024-04-08 06:54:39 UTC
LAST UPDATED 2024-04-08 06:54:39 UTC
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