Indiana
Professional Licensing Agency
Ricky S. Collis
Controlled Substance Registration - Physician
License number
01050483B
Date granted
11/16/2000
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Nova-Med Surgical Center, 520 West 1st St., New Albany IN 47150
indianalicensing.org
ID 5903652
LAST UPDATED 2024-03-27 15:43:53 UTC
LAST UPDATED 2024-03-27 15:43:53 UTC
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