Indiana
Professional Licensing Agency
Vance Andre Raham
Controlled Substance Registration - Physician
License number
01045645B
Date granted
08/29/1996
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Rockville Training Center, 811 W. 50 N, Rockville IN 47872
indianalicensing.org
ID 5915594
LAST UPDATED 2024-04-01 23:10:55 UTC
LAST UPDATED 2024-04-01 23:10:55 UTC
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