License holder summary

Richard Smith Mayrose is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Richard Smith Mayrose is Associated Physicians & Surgeons Clinic, LLC, 1739 NORTH FOURTH STREET, TERRE HAUTE IN 47804. This licensed professional license is current. The license was granted 02/28/1986 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Richard Smith Mayrose
Controlled Substance Registration - Physician
License number
01021538B
Date granted
02/28/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Associated Physicians & Surgeons Clinic, LLC, 1739 NORTH FOURTH STREET, TERRE HAUTE IN 47804
indianalicensing.org
ID 5926411
LAST UPDATED 2024-02-21 12:03:29 UTC

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