Indiana
Professional Licensing Agency
Richard J. Reynolds
Controlled Substance Registration - Physician
License number
01014521B
Date granted
08/31/1986
Date expires
06/30/1993
Class
Controlled Substance Registration - Physician
Status
Expired
Address
MEDICAL ARTS BUILDING, 1024 S 6TH STREET SUITE 4, TERRE HAUTE IN 47807
indianalicensing.org
ID 5926406
LAST UPDATED 2024-04-11 02:34:14 UTC
LAST UPDATED 2024-04-11 02:34:14 UTC
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