Indiana
Professional Licensing Agency
RICHARD IVISON FUNKEY
Controlled Substance Registration - Physician
License number
01032230B
Date granted
03/31/1986
Date expires
06/30/1999
Class
Controlled Substance Registration - Physician
Status
Expired
Address
1655 GLADSTONE SUITE C, P O BOX 2547, COLUMBUS IN 47202
indianalicensing.org
ID 5836983
LAST UPDATED 2024-04-27 23:54:36 UTC
LAST UPDATED 2024-04-27 23:54:36 UTC
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