Indiana
Professional Licensing Agency
Patricia Medina-McDevitt
Controlled Substance Registration - Physician
License number
01034581B
Date granted
04/06/1989
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
929 RIDGE ROAD STE 3, Munster IN 46321
indianalicensing.org
ID 5901150
LAST UPDATED 2024-04-29 10:44:27 UTC
LAST UPDATED 2024-04-29 10:44:27 UTC
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