Indiana
Professional Licensing Agency
Reginald Gaylord
Controlled Substance Registration - Physician
License number
01068710B
Date granted
11/16/2010
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
St. Catherine Hospital / Medical Staff Services, 4321 Fir Street, East Chicago IN 46312
indianalicensing.org
ID 5845936
LAST UPDATED 2024-03-30 21:27:21 UTC
LAST UPDATED 2024-03-30 21:27:21 UTC
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