Indiana
Professional Licensing Agency
Timothy W. Raykovich
Controlled Substance Registration - Physician
License number
01025435B
Date granted
01/29/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
1912 Ridge Road, Munster IN 46321
indianalicensing.org
ID 5901737
LAST UPDATED 2024-03-19 18:20:31 UTC
LAST UPDATED 2024-03-19 18:20:31 UTC
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