Indiana
Professional Licensing Agency
Ali Wasiti
Controlled Substance Registration - Physician
License number
01073249B
Date granted
10/22/2013
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Indiana University- LaPorte Hospital, 1007 Lincolnway, La Porte IN 46350
indianalicensing.org
ID 11954408
LAST UPDATED 2024-02-12 13:17:18 UTC
LAST UPDATED 2024-02-12 13:17:18 UTC
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