Indiana
Professional Licensing Agency
Roland Barneclo Rust, Jr.
Controlled Substance Registration - Physician
License number
01016540B
Date granted
08/31/1986
Date expires
06/30/1991
Class
Controlled Substance Registration - Physician
Status
Expired
Address
5626 E 16TH STREET #21, INDIANAPOLIS IN 46218
indianalicensing.org
ID 5870694
LAST UPDATED 2024-04-04 00:57:11 UTC
LAST UPDATED 2024-04-04 00:57:11 UTC
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