Indiana
Professional Licensing Agency
Richard S. Witham
Controlled Substance Registration - Physician
License number
01024020B
Date granted
09/30/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Surgical Care Inc., 1941 Virginia Avenue, Connersville IN 47331
indianalicensing.org
ID 5838196
LAST UPDATED 2024-02-29 23:56:55 UTC
LAST UPDATED 2024-02-29 23:56:55 UTC
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