Indiana
Professional Licensing Agency
ALEXANDRA DOMINIK
Controlled Substance Registration - Physician
License number
01028190B
Date granted
09/30/1983
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
1201 OAK STREET, FRANKFORT IN 46041
indianalicensing.org
ID 5854974
LAST UPDATED 2024-03-30 06:18:06 UTC
LAST UPDATED 2024-03-30 06:18:06 UTC
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