Indiana
Professional Licensing Agency
ALLEN ALVA ERISMAN
Controlled Substance Registration-Osteopathic Physician
License number
02002084B
Date granted
07/13/1999
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
ST MARGARET MERCY HEALTHCARE CNTR ER DEP, 5454 HOHMAN AVE NORTH CAMPUS, HAMMOND IN 46320
indianalicensing.org
ID 5802234
LAST UPDATED 2024-02-11 12:07:11 UTC
LAST UPDATED 2024-02-11 12:07:11 UTC
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