Indiana
Professional Licensing Agency
Alexander Starodub
Controlled Substance Registration - Physician
License number
01068813B
Date granted
09/21/2010
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Goshen Center for Cancer Care, 200 High Park Ave, Goshen IN 46526
indianalicensing.org
ID 5858225
LAST UPDATED 2024-04-11 21:53:22 UTC
LAST UPDATED 2024-04-11 21:53:22 UTC
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