License holder summary

Rachael Lee Ross is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Rachael Lee Ross is Tatum Family Health Center, 1619 W 5th Avenue, Gary IN 46404. This licensed professional license is current. The license was granted 04/13/2004 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Rachael Lee Ross
Controlled Substance Registration - Physician
License number
01057346B
Date granted
04/13/2004
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Tatum Family Health Center, 1619 W 5th Avenue, Gary IN 46404
indianalicensing.org
ID 5857364
LAST UPDATED 2024-05-20 13:17:38 UTC

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