Indiana
Professional Licensing Agency
Smriti Nagale Wagle
Controlled Substance Registration-Osteopathic Physician
License number
02002748B
Date granted
03/02/2004
Date expires
06/30/2009
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
Hammond Clinic LLC, 7905 Calumet Avenue, Munster IN 46321
indianalicensing.org
ID 5810242
LAST UPDATED 2024-02-20 12:18:09 UTC
LAST UPDATED 2024-02-20 12:18:09 UTC
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