Indiana
Professional Licensing Agency
Todd A. Reyburn
Controlled Substance Registration - Physician
License number
01048555B
Date granted
06/22/1998
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Advanced Medical Imaging, 2008 W. Blvd., Kokomo IN 46902
indianalicensing.org
ID 5877442
LAST UPDATED 2024-03-25 10:23:53 UTC
LAST UPDATED 2024-03-25 10:23:53 UTC
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