Ron Clark
Controlled Substance Registration - Physician
Indiana 01051209B Expired
This Indiana license was held by Ron Clark. The license is no longer active. It was granted on 08/12/1999 and expired on 10/31/2013
LICENSE DETAILS
- License Number: 01051209B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 08/12/1999 (almost 25 years ago)
- Expiry Date: 10/31/2013 (over 10 years ago)
LOCATIONS
A Address
South Bend Clinic, 211 N. Eddy Street, South Bend IN 46617