Indiana
Professional Licensing Agency
Kim Yasmine Williams
Controlled Substance Registration - Physician
License number
01064814B
Date granted
06/04/2008
Date expires
06/30/2009
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Porter Valparaiso Hopsital Campus, 814 LaPorte Avenue, Valparaiso IN 46383
indianalicensing.org
ID 5928997
LAST UPDATED 2024-04-14 19:38:55 UTC
LAST UPDATED 2024-04-14 19:38:55 UTC
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