Indiana
Professional Licensing Agency
Anna Kostelanetz
Controlled Substance Registration - Physician
License number
01050389B
Date granted
04/01/1999
Date expires
06/30/2003
Class
Controlled Substance Registration - Physician
Status
Expired
Address
12380 CREEKWOOD LANE, Carmel IN 46032
indianalicensing.org
ID 5829842
LAST UPDATED 2024-03-19 08:01:19 UTC
LAST UPDATED 2024-03-19 08:01:19 UTC
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