Ralph Ivon Hartsough
Controlled Substance Registration - Physician
Indiana 01016477B Expired
This Indiana license was held by Ralph Ivon Hartsough. The license is no longer active. It was granted on 03/31/1986 and expired on 06/30/2003
LICENSE DETAILS
- License Number: 01016477B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 03/31/1986 (about 40 years ago)
- Expiry Date: 06/30/2003 (almost 23 years ago)
LOCATIONS
A Address
24078 STANTON ROAD, NORTH LIBERTY IN 46554