RAYMOND LEROY CONKLIN
Controlled Substance Registration - Physician
Indiana 01014267B Expired
This Indiana license was held by RAYMOND LEROY CONKLIN. The license is no longer active. It was granted on 11/30/1986 and expired on 06/30/1997
LICENSE DETAILS
- License Number: 01014267B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 11/30/1986 (over 37 years ago)
- Expiry Date: 06/30/1997 (almost 27 years ago)
LOCATIONS
A Address
215 SWANSON CIRCLE W, SOUTH BEND IN 46615