Indiana
Professional Licensing Agency
Anatolio G. Wasserman
Controlled Substance Registration - Physician
License number
01032508B
Date granted
07/31/1986
Date expires
06/30/1997
Class
Controlled Substance Registration - Physician
Status
Expired
Address
707 N MICHIGAN STREET #218, SOUTH BEND IN 46601
indianalicensing.org
ID 5920403
LAST UPDATED 2024-04-13 17:09:48 UTC
LAST UPDATED 2024-04-13 17:09:48 UTC
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