Indiana
Professional Licensing Agency
Robert Leon Clark
Controlled Substance Registration - Physician
License number
01070854B
Date granted
03/23/2012
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Select Specialty Hospital, 1600 Albany Street, Suite 200, Beech Grove IN 46107
indianalicensing.org
ID 5823183
LAST UPDATED 2024-04-30 13:08:15 UTC
LAST UPDATED 2024-04-30 13:08:15 UTC
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