Indiana
Professional Licensing Agency
Banio Papayo Koroma
Controlled Substance Registration - Physician
License number
01048271B
Date granted
02/26/1998
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
4320 Fir Street, East Chicago IN 46312
indianalicensing.org
ID 5844930
LAST UPDATED 2024-03-06 20:28:23 UTC
LAST UPDATED 2024-03-06 20:28:23 UTC
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