Richard Wayne Spore
Controlled Substance Registration - Physician
Indiana 01049925B Expired
This Indiana license was held by Richard Wayne Spore. The license is no longer active. It was granted on 02/02/1999 and expired on 06/30/2007
LICENSE DETAILS
- License Number: 01049925B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 02/02/1999 (over 26 years ago)
- Expiry Date: 06/30/2007 (almost 18 years ago)
LOCATIONS
A Address
Bedford Regional Medical Center / med staff coordinator, 2900 W. 16th Street, Bedford IN 47421