Indiana
Professional Licensing Agency
Young IL Ro
Controlled Substance Registration - Physician
License number
01032149B
Date granted
10/15/1982
Date expires
03/31/1984
Class
Controlled Substance Registration - Physician
Status
Expired
Address
OUR LADY OF MERCY HOSPITAL, US HWY 30, DYER IN 46311
indianalicensing.org
ID 5844764
LAST UPDATED 2024-02-09 14:03:08 UTC
LAST UPDATED 2024-02-09 14:03:08 UTC
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