Indiana
Professional Licensing Agency
Mona Kaufman Stern
Controlled Substance Registration - Physician
License number
01018886B
Date granted
01/31/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
7535 EAST HAROLD AVE, GARY IN 46403
indianalicensing.org
ID 5857081
LAST UPDATED 2024-02-15 19:05:05 UTC
LAST UPDATED 2024-02-15 19:05:05 UTC
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