Indiana
Professional Licensing Agency
William D. Province, II
Controlled Substance Registration - Physician
License number
01030437B
Date granted
10/31/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
William D. Province, Inc., 100 NORTH MAIN STREET, FRANKLIN IN 46131
indianalicensing.org
ID 5855782
LAST UPDATED 2024-03-12 00:23:44 UTC
LAST UPDATED 2024-03-12 00:23:44 UTC
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