Indiana
Professional Licensing Agency
Lara Marie Wiziecki
Controlled Substance Registration-Osteopathic Physician
License number
02001971B
Date granted
06/25/1998
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
St. Catherine Hospital, ER Dept, Dr. Jeffery Dubnow, 4321 Fir Street, East Chicago IN 46312
indianalicensing.org
ID 5798957
LAST UPDATED 2024-04-04 10:45:18 UTC
LAST UPDATED 2024-04-04 10:45:18 UTC
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