Indiana
Professional Licensing Agency
Anita Conte
Controlled Substance Registration - Physician
License number
01048034C
Date granted
03/24/2004
Date expires
06/30/2007
Class
Controlled Substance Registration - Physician
Status
Expired
Address
550 Landmark Ave. PO Box 550, Bloomington IN 47402-0550
indianalicensing.org
ID 5823813
LAST UPDATED 2024-03-05 02:22:34 UTC
LAST UPDATED 2024-03-05 02:22:34 UTC
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