Adolph Ralph Yaniz
Controlled Substance Registration - Physician
Indiana 01038025B Suspended
This Indiana license was held by Adolph Ralph Yaniz. The license is no longer active. It was granted on 01/18/1990 and expired on 06/30/2011
LICENSE DETAILS
- License Number: 01038025B
- Category: CSR-Physician
- Status: Suspended
- Date Granted: 01/18/1990 (over 34 years ago)
- Expiry Date: 06/30/2011 (almost 13 years ago)
LOCATIONS
A Address
5490 Broadway, Suite 105, Merrillville IN 46410