Indiana
Professional Licensing Agency
Vactor O. Connell
Controlled Substance Registration - Physician
License number
01014156B
Date granted
08/31/1986
Date expires
06/30/1997
Class
Controlled Substance Registration - Physician
Status
Expired
Address
705 NORTH HARRIS STREET, BOURBON IN 46504
indianalicensing.org
ID 5827520
LAST UPDATED 2024-02-22 23:38:46 UTC
LAST UPDATED 2024-02-22 23:38:46 UTC
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