Indiana
Professional Licensing Agency
Richard Wayne Spore
Controlled Substance Registration - Physician
License number
01049925B
Date granted
02/02/1999
Date expires
06/30/2007
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Bedford Regional Medical Center / med staff coordinator, 2900 W. 16th Street, Bedford IN 47421
indianalicensing.org
ID 5822539
LAST UPDATED 2024-05-01 19:56:51 UTC
LAST UPDATED 2024-05-01 19:56:51 UTC
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