Randall Ray Riley
Controlled Substance Registration - Physician
Indiana 01044173C Expired
This Indiana license was held by Randall Ray Riley. The license is no longer active. It was granted on 04/15/2004 and expired on 06/30/2007
LICENSE DETAILS
- License Number: 01044173C
- Category: CSR-Physician
- Status: Expired
- Date Granted: 04/15/2004 (over 22 years ago)
- Expiry Date: 06/30/2007 (about 19 years ago)
LOCATIONS
A Address
Community Internists & Associates, 3505 S Reed Rd, Kokomo IN 46902