Indiana
Professional Licensing Agency
Anna M. Pacis
Controlled Substance Registration - Physician
License number
01069364B
Date granted
04/11/2011
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
North Shore Health Center, 3564 Scottsdale Street-PO BOX 1430, Portage IN 46368
indianalicensing.org
ID 5910935
LAST UPDATED 2024-02-21 22:25:04 UTC
LAST UPDATED 2024-02-21 22:25:04 UTC
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