Indiana
Professional Licensing Agency
Angela Stillwagon
Controlled Substance Registration-Osteopathic Physician
License number
02003530B
Date granted
06/25/2009
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
Rehab One Physical Medicine & Rehabilitation Specialists, 53760 Generations Drive, South Bend IN 46635
indianalicensing.org
ID 5813212
LAST UPDATED 2024-03-18 12:02:49 UTC
LAST UPDATED 2024-03-18 12:02:49 UTC
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