Indiana
Professional Licensing Agency
Robert H Leak
Controlled Substance Registration - Physician
License number
01014796B
Date granted
05/31/1986
Date expires
06/30/2009
Class
Controlled Substance Registration - Physician
Status
Expired
Address
8285 W 850 N, Ambia IN 47917
indianalicensing.org
ID 5816449
LAST UPDATED 2024-02-23 16:43:39 UTC
LAST UPDATED 2024-02-23 16:43:39 UTC
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