Indiana
Professional Licensing Agency
William Brian Clark Jr
Controlled Substance Registration - Physician
License number
01016074B
Date granted
11/30/1984
Date expires
06/30/1999
Class
Controlled Substance Registration - Physician
Status
Expired
Address
P O BOX 1603, 435 SPRING STREET, JEFFERSONVILLE IN 47130
indianalicensing.org
ID 5874576
LAST UPDATED 2024-04-07 19:39:03 UTC
LAST UPDATED 2024-04-07 19:39:03 UTC
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