Richard Lee Bauman
Controlled Substance Registration - Physician
Indiana 01019719B Expired
This Indiana license was held by Richard Lee Bauman. The license is no longer active. It was granted on 04/30/1986 and expired on 06/30/1995
LICENSE DETAILS
- License Number: 01019719B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 04/30/1986 (about 38 years ago)
- Expiry Date: 06/30/1995 (almost 29 years ago)
LOCATIONS
A Address
6227 COVINGTON ROAD, FORT WAYNE IN 46804