License holder summary

Ron Clark is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Ron Clark is South Bend Clinic, 211 N. Eddy Street, South Bend IN 46617. This licensed professional license is not current. The license was granted 08/12/1999 and expired on 10/31/2013.

Indiana

Professional Licensing Agency

Ron Clark
Controlled Substance Registration - Physician
License number
01051209B
Date granted
08/12/1999
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
South Bend Clinic, 211 N. Eddy Street, South Bend IN 46617
indianalicensing.org
ID 5922184
LAST UPDATED 2024-04-21 10:04:23 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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