Indiana
Professional Licensing Agency
Anita Kishan
Controlled Substance Registration - Physician
License number
01034706B
Date granted
10/20/1985
Date expires
06/30/2009
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Warsaw Medical Group, 2219 DuBois Drive, Warsaw IN 46580
indianalicensing.org
ID 5932369
LAST UPDATED 2024-04-09 09:44:01 UTC
LAST UPDATED 2024-04-09 09:44:01 UTC
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