Indiana
Professional Licensing Agency
Richard Michael Clark
Controlled Substance Registration-Osteopathic Physician
License number
02004079B
Date granted
11/13/2012
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
515 Read Street, Evansville IN 47710
indianalicensing.org
ID 5799799
LAST UPDATED 2024-03-03 06:23:11 UTC
LAST UPDATED 2024-03-03 06:23:11 UTC
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