Indiana
Professional Licensing Agency
Andrew Anton Zupan
Controlled Substance Registration - Physician
License number
01044289B
Date granted
05/17/1996
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Expired
Address
851 East Fifth Street, Washington MO 63090
indianalicensing.org
ID 5933082
LAST UPDATED 2024-03-22 01:39:34 UTC
LAST UPDATED 2024-03-22 01:39:34 UTC
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