Indiana
Professional Licensing Agency
Anne-Marie Prostko Avallone
Controlled Substance Registration-Osteopathic Physician
License number
02003373B
Date granted
08/12/2008
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
Indiana University Health Arnett, 5165 McCarty Lane, Lafayette IN 47905
indianalicensing.org
ID 5806873
LAST UPDATED 2024-04-04 19:21:54 UTC
LAST UPDATED 2024-04-04 19:21:54 UTC
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