Indiana
Professional Licensing Agency
Stephanie Rodis Ruales
Controlled Substance Registration - Physician
License number
01073005G
Date granted
08/09/2013
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Med Express, 1130 North Baldwin Avenue, Marion IN 46952
indianalicensing.org
ID 5888866
LAST UPDATED 2024-04-15 07:10:14 UTC
LAST UPDATED 2024-04-15 07:10:14 UTC
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