Indiana
Professional Licensing Agency
Daniela Mitko Sikoski
Controlled Substance Registration - Physician
License number
01056386B
Date granted
07/30/2002
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Portage Medical Group, 3630 Willowcreek Road, Portage IN 46368
indianalicensing.org
ID 5910971
LAST UPDATED 2024-03-01 22:45:49 UTC
LAST UPDATED 2024-03-01 22:45:49 UTC
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