Indiana
Professional Licensing Agency
Richard James Holloway
Controlled Substance Registration - Physician
License number
01021976B
Date granted
03/31/1986
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
P O BOX 1755, 211 NORTH EDDY STREET, SOUTH BEND IN 46634
indianalicensing.org
ID 5922008
LAST UPDATED 2024-03-15 04:15:02 UTC
LAST UPDATED 2024-03-15 04:15:02 UTC
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