Indiana
Professional Licensing Agency
Richard Lee Bauman
Controlled Substance Registration - Physician
License number
01019719B
Date granted
04/30/1986
Date expires
06/30/1995
Class
Controlled Substance Registration - Physician
Status
Expired
Address
6227 COVINGTON ROAD, FORT WAYNE IN 46804
indianalicensing.org
ID 5854345
LAST UPDATED 2024-04-04 18:33:03 UTC
LAST UPDATED 2024-04-04 18:33:03 UTC
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