Indiana
Professional Licensing Agency
William Ronald Coughlin
Controlled Substance Registration - Physician
License number
01038021B
Date granted
04/12/1990
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
MEDICAL DENTAL BUILDING SUITE 26, 3030 LAKE AVENUE, FORT WAYNE IN 46805
indianalicensing.org
ID 5854816
LAST UPDATED 2024-04-11 05:55:37 UTC
LAST UPDATED 2024-04-11 05:55:37 UTC
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