CLARENCE R WOODBURY

Controlled Substance Registration - Physician

Indiana  01017796B   Expired

This Indiana license was held by CLARENCE R WOODBURY. The license is no longer active. It was granted on 01/31/1986 and expired on 06/30/1989

LICENSE DETAILS

  • License Number: 01017796B
  • Category: CSR-Physician
  • Status: Expired
  • Date Granted: 01/31/1986 (over 40 years ago)
  • Expiry Date: 06/30/1989 (about 37 years ago)

LOCATIONS

A Address

P O BOX 323, PENDLETON IN 46064