Indiana
Professional Licensing Agency
Alfonso D. Holliday, Jr.
Controlled Substance Registration - Physician
License number
01017436C
Date granted
06/11/1985
Date expires
06/30/1993
Class
Controlled Substance Registration - Physician
Status
Expired
Address
2293 NORTH MAIN STREET, CROWN POINT IN 46307
indianalicensing.org
ID 5840708
LAST UPDATED 2024-03-13 14:01:00 UTC
LAST UPDATED 2024-03-13 14:01:00 UTC
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