Indiana
Professional Licensing Agency
Luan Nguyen
Controlled Substance Registration - Physician
License number
01057625B
Date granted
05/29/2003
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Northern Lakes Internal Medicine, 1205 Provident Drive, Ste A, Warsaw IN 46580
indianalicensing.org
ID 5932747
LAST UPDATED 2024-04-13 05:36:06 UTC
LAST UPDATED 2024-04-13 05:36:06 UTC
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