Indiana
Professional Licensing Agency
Mario Addabbo
Controlled Substance Registration - Physician
License number
01056318B
Date granted
11/12/2003
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Expired
Address
St. Joseph's Hospital, 1915 Lake Ave., Plymouth IN 46563
indianalicensing.org
ID 5910614
LAST UPDATED 2024-03-20 03:52:49 UTC
LAST UPDATED 2024-03-20 03:52:49 UTC
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