Indiana
Professional Licensing Agency
Richard Wager Bailey
Controlled Substance Registration - Physician
License number
01064930B
Date granted
03/06/2008
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
1116 Millis Avenue, Boonville IN 47601
indianalicensing.org
ID 5827387
LAST UPDATED 2024-02-22 14:10:51 UTC
LAST UPDATED 2024-02-22 14:10:51 UTC
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