License holder summary

RICHARD CLAYTON GREEN, JR is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for RICHARD CLAYTON GREEN, JR is LAPORTE HOSPITAL EMERGENCY, STATE & MADISON AVE BOX 250, LAPORTE IN 46350. This licensed professional license is not current. The license was granted 07/28/1994 and expired on 06/30/1997.

Indiana

Professional Licensing Agency

RICHARD CLAYTON GREEN, JR
Controlled Substance Registration - Physician
License number
01042872B
Date granted
07/28/1994
Date expires
06/30/1997
Class
Controlled Substance Registration - Physician
Status
Expired
Address
LAPORTE HOSPITAL EMERGENCY, STATE & MADISON AVE BOX 250, LAPORTE IN 46350
indianalicensing.org
ID 5878425
LAST UPDATED 2024-04-10 08:32:44 UTC

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