Indiana
Professional Licensing Agency
RUSSELL CARL DAUGHERTY
Controlled Substance Registration - Physician
License number
01042648B
Date granted
06/30/1994
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Russell Daugherty, 110 East 13th Street, Rushville IN 46173
indianalicensing.org
ID 5915937
LAST UPDATED 2024-05-01 10:37:38 UTC
LAST UPDATED 2024-05-01 10:37:38 UTC
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