License holder summary

William Ronald Coughlin is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for William Ronald Coughlin is MEDICAL DENTAL BUILDING SUITE 26, 3030 LAKE AVENUE, FORT WAYNE IN 46805. This licensed professional license is not current. The license was granted 04/12/1990 and expired on 06/30/2001.

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

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