Indiana
Professional Licensing Agency
Addis Alemu Asfaw
Controlled Substance Registration - Physician
License number
01072720B
Date granted
06/06/2013
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
5454 Hohman Avenue, Hammond IN 46320
indianalicensing.org
ID 5863323
LAST UPDATED 2024-03-07 22:28:33 UTC
LAST UPDATED 2024-03-07 22:28:33 UTC
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