Indiana
Professional Licensing Agency
Richard C. Clarke
Controlled Substance Registration - Physician
License number
01055002C
Date granted
06/08/2012
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Saint Joseph Hospital, 1907 W. Sycamore Street, Kokomo IN 46901
indianalicensing.org
ID 5876947
LAST UPDATED 2024-03-11 09:02:05 UTC
LAST UPDATED 2024-03-11 09:02:05 UTC
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