Indiana
Professional Licensing Agency
ROBERT MCCORMICK CLARK
Controlled Substance Registration - Physician
License number
01017300B
Date granted
11/30/1986
Date expires
06/30/1995
Class
Controlled Substance Registration - Physician
Status
Expired
Address
2809 WEST GODMAN AVENUE #1, MUNCIE IN 47304
indianalicensing.org
ID 5899272
LAST UPDATED 2024-02-26 09:35:56 UTC
LAST UPDATED 2024-02-26 09:35:56 UTC
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