Indiana
Professional Licensing Agency
Susan Marie Nowak
Controlled Substance Registration - Physician
License number
01061397C
Date granted
06/14/2007
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Whitewater Valley Care Pavillion, 450 Erie Street, PO BOX 929, Connersville IN 47331
indianalicensing.org
ID 5838335
LAST UPDATED 2024-04-06 20:15:16 UTC
LAST UPDATED 2024-04-06 20:15:16 UTC
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