Indiana
Professional Licensing Agency
Roy Ault
Controlled Substance Registration - Physician
License number
01014748B
Date granted
11/30/1984
Date expires
06/30/2007
Class
Controlled Substance Registration - Physician
Status
Expired
Address
540 Wagonwheel Court, Terre Haute IN 47803-4219
indianalicensing.org
ID 5926508
LAST UPDATED 2024-04-10 13:45:58 UTC
LAST UPDATED 2024-04-10 13:45:58 UTC
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