Indiana
Professional Licensing Agency
Marie Nowak
Controlled Substance Registration - Physician
License number
01041237C
Date granted
07/14/2009
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Saint Anthony Memorial Health Center, 301 West Homer Street, Michigan City IN 46360
indianalicensing.org
ID 5893097
LAST UPDATED 2024-04-22 03:18:45 UTC
LAST UPDATED 2024-04-22 03:18:45 UTC
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