Indiana
Professional Licensing Agency
RICHARD S WITHAM MD
Medical Licensing Board - Medical Corporation
License number
50001272A
Date granted
10/04/1977
Date expires
01/31/2006
Class
Medical Licensing Board - Medical Corporation
Status
Expired
Address
2200 JOHN WOODEN DR #201, MARTINSVILLE IN 46151
indianalicensing.org
ID 24830706
LAST UPDATED 2024-02-24 17:14:27 UTC
LAST UPDATED 2024-02-24 17:14:27 UTC
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