Indiana
Professional Licensing Agency
ANTHONIA A OLAJIDE KUKU
Controlled Substance Registration - Physician
License number
01050833B
Date granted
06/28/1999
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
9006 KING PLACE, CROWN POINT IN 46307
indianalicensing.org
ID 5840742
LAST UPDATED 2024-05-05 07:55:33 UTC
LAST UPDATED 2024-05-05 07:55:33 UTC
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