Indiana
Professional Licensing Agency
Andre Zanahin Oulai
Controlled Substance Registration - Physician
License number
01055991B
Date granted
04/19/2002
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
1225 E Coolspring Ave, Michigan City IN 46360
indianalicensing.org
ID 5892155
LAST UPDATED 2024-05-10 04:24:49 UTC
LAST UPDATED 2024-05-10 04:24:49 UTC
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