Indiana
Professional Licensing Agency
Robert Dale Clark
Controlled Substance Registration - Physician
License number
01068129B
Date granted
07/06/2010
Date expires
06/30/2011
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Dekalb Memorial Hospital, 1316 East 7th Street, Auburn IN 46706
indianalicensing.org
ID 5819450
LAST UPDATED 2024-05-05 19:08:14 UTC
LAST UPDATED 2024-05-05 19:08:14 UTC
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